Norma E Hibbert

Individual provider Active NPI Licensed Practical Nurse · Bardonia, NY

NPI 1194045880 · NPPES record last updated Jun 4, 2010

Key facts

NPI
1194045880
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
01000085148 (NY)
Practice address
88 Village GRN
Bardonia, NY 10954-2039
Phone
(845) 623-8814
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
01000085148NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 01000085148 NY Yes

Addresses

Primary practice location

88 Village GRN
Bardonia, NY 10954-2039

Mailing address

88 Village GRN
Bardonia, NY 10954-2039
Phone (845) 623-8814

Other providers in Bardonia, NY

All providers in Bardonia, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.