GLENDA WILLOCK


Address: 2052 Tillotson Ave, Bronx, NY 10475-1560
Phone: 7186712100

GLENDA WILLOCK (NPI# 1093176240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093176240
Entity Type Individual
Full Name GLENDA WILLOCK
Practice Address 2052 Tillotson Ave
Bronx
NY 10475-1560
Practice Telephone 7186712100
Mailing Telephone 7186712100
Enumeration Date 2016-03-16
Last Update Date 2016-03-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 319475 NY Nursing Service Providers

Office Location

Street Address 2052 TILLOTSON AVE
City BRONX
State NY
Zip Code 10475-1560

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124155825 Pioneer Homecare Inc. Home Health 2052 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 2007-02-28
1306481627 Ehruvwu Akpovogbeta-day Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1583 2019-11-11
1245764489 Nkechinyere Nwaoha Registered Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2017-04-14
1083148225 Adeyemo Dania Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2017-04-14
1386001964 Serna Simms Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-27
1063879666 Simon Opoku Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-27
1578920195 Ann Barker-figueroa Registered Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-27
1922465517 Akua Otabil Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-27
1235596974 Sharon Newton Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-26
1033576772 Kathiana Lubin Licensed Practical Nurse 2052 Tillotson Ave, Bronx, NY 10475-1560 2016-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154973048 Sharon Antoinette Hall Registered Nurse 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 2019-07-11
1265912042 Bartow Pharmacy Inc. Pharmacy 500-5 Baychester Ave. Store #5, Bronx, NY 10475 2018-08-21
1518465996 Jacqueline Caraballo Nurse Practitioner 100 De Kruif Place Apt 27h, Bronx, NY 10475 2018-01-31
1093227142 Rachel Obeng Mireku Licensed Practical Nurse 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 2017-10-30
1023534518 Nelson Merritt Hall Chiropractor 2100 Bartow Ave, Ste #227, Bronx, NY 10475 2017-08-17
1245769363 Sharon Holland Johnson Licensed Practical Nurse 140 Dekruif Pl, Bronx, NY 10475 2017-06-12
1740719152 Nadia S Etienne Licensed Practical Nurse 120 De Kruif Place, Apt 18h, Bronx, NY 10475 2017-06-08
1407385891 Ashley N Freeze Case Manager/Care Coordinator 140 Darrow Place Suite 24e, Bronx, NY 10475 2017-06-08
1912454091 Usth.inc Early Intervention Provider Agency 120 Coop City Blvd, 21-f, Bronx, NY 10475 2016-09-06
1447626130 Zelda Boomer Registered Nurse 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 2015-08-17
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy 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 responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649870494 Khairat Salami Licensed Practical Nurse 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 2020-10-30
1780284661 Tiffanny Rawlins Licensed Practical Nurse 4200 Bronxwood Ave, Bronx, NY 10466-3119 2020-10-29
1063012987 Theresa Kukueley Okaikoi Licensed Practical Nurse 2271 Washington Ave Apt 1d, Bronx, NY 10457-1458 2020-10-29
1770182396 Daouda Nikiema Licensed Practical Nurse 3477 Knox Pl Apt E, Bronx, NY 10467-2051 2020-10-23
1811596000 Nancy Agyapong Licensed Practical Nurse 1735 Lafayette Ave, Bronx, NY 10473-4171 2020-10-20
1255939005 Serifat Adeyemi Licensed Practical Nurse 830 E 214th St, Bronx, NY 10467-5914 2020-10-14
1124625165 Vanessa Daymon Licensed Practical Nurse 662 E 216th St, Bronx, NY 10467-5512 2020-10-02
1770199135 Paula Pamella Smith Licensed Practical Nurse 2035 Nereid Ave, Bronx, NY 10466-1110 2020-09-21
1477169274 Yetunde Elizabeth Onafuwa Licensed Practical Nurse 1485 Fulton Ave Apt 5d, Bronx, NY 10456-2119 2020-09-17
1336755123 Eunice Isabel Paredes Licensed Practical Nurse 1895 University Ave Apt 6d, Bronx, NY 10453-4475 2020-09-17
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Competitor

Search similar providers

City BRONX
Zip Code 10475

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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