Deena Fenetre Blue , LPN
Licensed Practical Nurse • Freeport, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Deena Blue has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Deena Blue, LPN was a registered Licensed Practical Nurse practicing in Freeport, NY. Throughout an active medical career spanning 12 years, Deena Blue provided care at the practice location at 109 PINE ST until profile deactivation on 2019-06-26.
Practice Location & Contact Primary Location
109 Pine St
Apt 3a
Freeport, NY 115203529
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Freeport, NY
Practicing in Freeport, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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.
Career & Practice History Timeline
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Record deactivated on June 26, 2019
NPI status registered as active in NPPES database
Registered at 109 PINE ST, APT 3A, FREEPORT, NY 115203529 (Tel: 5167056530)
Registered at 109 PINE ST, APT 3A, FREEPORT, NY 115203529 (Tel: 5167056530)
Recorded as DEENA BLUE, LPN
Licensed Practical Nurse (License #213345-1 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
109 Pine St, Apt 3a
Freeport, NY 115203529
Phone: 5167056530
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