| NPI | 1154685469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NY 568854) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 568854) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: NY 568854) | |
| 163WC0400X Registered Nurse Case Management (Licence: NY 568854) | |
| 163WC2100X Registered Nurse Continence Care (Licence: NY 568854) | |
| 163WD0400X Registered Nurse Diabetes Educator (Licence: NY 568854) | |
| 163WH0200X Registered Nurse Home Health (Licence: NY 568854) | |
| 163WH1000X Registered Nurse Hospice (Licence: NY 568854) | |
| 163WI0600X Registered Nurse Infection Control (Licence: NY 568854) | |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 568854) | |
| 163WN1003X Registered Nurse Nutrition Support (Licence: NY 568854) | |
| 163WP0000X Registered Nurse Pain Management (Licence: NY 568854) | |
| 163WW0000X Registered Nurse Wound Care (Licence: NY 568854) | |
| 163WX1500X Registered Nurse Ostomy Care (Licence: NY 568854) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |