Provider Demographics
NPI:1477397784
Name:ARROYO, NESA (LPN)
Entity type:Individual
Prefix:
First Name:NESA
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:NESA
Other - Middle Name:
Other - Last Name:MCPHERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:36 WALNUT RD
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-1021
Mailing Address - Country:US
Mailing Address - Phone:516-725-2472
Mailing Address - Fax:
Practice Address - Street 1:36 WALNUT RD
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-1021
Practice Address - Country:US
Practice Address - Phone:516-725-2472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339514164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse