Doctor Name: | NORA J MCBRIEN |
NPI Number: | 1083706287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | F3019171 |
Business Practice Address: | 45 Research Way Suite 008 & 108 East Setauket, NY - 117336401 |
Business Phone Number: | 6319412704 |
Business Fax Number: | 6319412009 |
Mailing Address: | 45 Research Way, Suite 008 & 108 EAST SETAUKET |
State: | NY |
Postal Code: | 117336401 |
Phone Number: | 6319412704 |
Fax Number: | 6319412009 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 02/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F3019171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |