Doctor Name: | MRS. PRUDENCE E KING |
NPI Number: | 1144466988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN, RN |
License Number: | 460538-1 |
Business Practice Address: | 2 Murray Hill Dr Mount Morris, NY - 145101122 |
Business Phone Number: | 5852437290 |
Business Fax Number: | 5852437287 |
Mailing Address: | 2 Murray Hill Dr, MOUNT MORRIS |
State: | NY |
Postal Code: | 145101122 |
Phone Number: | 5852437290 |
Fax Number: | 5852437287 |
NPI Enumeration Date: | 12/29/2008 |
NPI Last Update Date: | 12/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 460538-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |