Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDJEANINE BOUCICAULT, LPN
Active Sole ProprietorEDJEANINE BOUCICAULT, LPN is a Licensed Practical Nurse healthcare provider located in LAKE RONKONKOMA, New York. NPI 1912624115 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1912624115
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2022 (3.7980243797545 yrs)
- Last Updated
- Oct 27, 2022
- License
-
332414-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
153 LAKE SHORE RDLAKE RONKONKOMA, NY, 117793193Browse NY providers · Browse ZIP 11779
- Phone
- 6315226876
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MEGAN MELISSA CRAIN | LPN | 1710253794 |
| MISS MEAGAN MCGUIGAN | L.P.N. | 1013317437 |
| MISS JEE KIM | LPN | 1891150298 |
| AMANDA LITTLE | L.P.N. | 1013377662 |
| NICHOLAS MARTIN PASCULLO | LPN | 1629590617 |
| ANNA ELAINE WEISS | LPN | 1811408354 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.