SARINA FULLWOOD - NPI 1922429521 - Licensed Practical Nurse in Bay Shore, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Sarina Fullwood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARINA FULLWOOD (NPI 1922429521) is an individual licensed practical nurse in Bay Shore, New York, licensed in New York (315603-1) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1922429521

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSARINA FULLWOOD

Location Address1097 NUGENT AVEBay Shore, NY 11706-1339

Mailing Address1097 Nugent AveBay Shore, NY 11706-1339 · (631) 894-6760

Phone(631) 894-6760

Sole ProprietorYes

Enumeration DateDecember 27, 2013

✔ NPI 1922429521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 315603-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1097 NUGENT AVE, Bay Shore, NY 11706

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Frequently Asked Questions

What is Sarina Fullwood's NPI number?

The NPI number assigned to this healthcare provider is 1922429521, enumerated as an "individual" on December 27, 2013.

Where is the provider located?

The provider is located at 1097 NUGENT AVE BAY SHORE, NY 11706 and the phone number is (631) 894-6760.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.