Organization Name: | NURSE PRACTITIONERS IN ADULT HEALTH SERVICES, PLLC |
NPI Number: | 1053669614 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COLLEEN SHEEHAN (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 184 Old Country Road First Floor Mineola |
State: | NY US |
Postal Code: | 11501 |
Phone Number: | 5163612038 |
Fax Number: | 5166739553 |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 305646 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |