Leila Icillda Blake in Queens - Licensed Practical Nurse
Leila Icillda Blake - NPI 1033252218
Leila Icillda Blake is a Licensed Practical Nurse in Queens, New York. Leila Icillda Blake practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Leila Icillda Blake is 1033252218. The last update date is 2007-07-08.
Leila Icillda Blake's current location address is 121 15 194 Street, Queens, New York. You can contact this provider via phone number 7189493421. The mailing address for Leila Icillda Blake is 121 15 194 Street, Queens, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leila Icillda Blake |
|---|---|
| Address | 121 15 194 Street, Queens, New York |
| Phone Number | 7189493421 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1033252218 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 121 15 194 Street |
|---|---|
| City | Queens |
| State | New York (NY) |
| Post Code | 11413 |
| Phone Number | 7189493421 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 1651541 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2570390 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Leila Icillda Blake by the Centers for Medicare & Medicaid Services?
The Leila Icillda Blake has been issued the NPI (National Provider Identifier) 1033252218, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Leila Icillda Blake is physically located?
The Leila Icillda Blake is situated at the following address: 121 15 194 Street, Queens, NY 11413.
What is Leila Icillda Blake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leila Icillda Blake's specialized field of practice is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164W00000X.
When was the Leila Icillda Blake's 1033252218 issued?
The Leila Icillda Blake's 1033252218 was issued on 2007-02-15.
When was the Leila Icillda Blake's information last updated?
The Leila Icillda Blake's information was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN