MS. AUDREY SANSCULOTTE ANP
NPI 1295013134
Nurse Practitioner - Adult Health in Lawrence, NY
Active since July 26, 2011
About Ms. Audrey Sansculotte Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. AUDREY SANSCULOTTE ANP (NPI 1295013134) is an individual adult health provider in Lawrence, New York, licensed in New York (305815) and active in the NPI registry since July 2011.
NPPES Registry Identity
NPI1295013134
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. AUDREY SANSCULOTTECredential: ANP
Location Address215 ROCKAWAY TPKELawrence, NY 11559-1216
Mailing Address904 Smith StUniondale, NY 11553-3507 · (516) 481-6327
Phone(516) 374-5024
Sole ProprietorYes
Enumeration DateJuly 26, 2011
✔ NPI 1295013134 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 305815
215 ROCKAWAY TPKE, Lawrence, NY 11559
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295013134, enumerated as an "individual" on July 26, 2011.
The provider is located at 215 ROCKAWAY TPKE LAWRENCE, NY 11559 and the phone number is (516) 374-5024.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
