Axen Theodore

Licensed Practical Nurse · Baldwin, NY

Individual Active NPI

NPI number 1497130223

Practice location

3325 Bertha Dr
Baldwin, NY 11510-5006
Phone
(347) 821-2582

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NPI record

NPI
1497130223
Entity type
Individual (Type 1)
Enumeration date
July 22, 2015
Last updated
July 22, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 309721 NY

About Axen Theodore

Axen Theodore is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 3325 Bertha Dr, Baldwin, NY 11510-5006. The NPI number 1497130223 was assigned on July 22, 2015 and the record was last updated on July 22, 2015.

Axen Theodore lists a license in the registry: #309721 (NY) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Axen Theodore?

The NPI number is 1497130223.

What is the phone number of Axen Theodore?

The phone number listed for the practice location is (347) 821-2582.

Where is Axen Theodore located?

3325 Bertha Dr, Baldwin, NY 11510-5006.

What is the taxonomy code for Axen Theodore?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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