PRISCILLA ROSE SANTANA NURSE PRACTITIONER ADULT HEALTH PLLC NPI 1578118261

NPI Information

NPI: 1578118261
Provider Name: PRISCILLA ROSE SANTANA NURSE PRACTITIONER ADULT HEALTH PLLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
457 HILLMAN AVE
STATEN ISLAND, NY
ZIP 10314
Phone: (347) 322-8015
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PRISCILLA ROSE SANTANA NURSE PRACTITIONER ADULT HEALTH PLLC is an adult health nurse practitioner in Staten Island, NY. PRISCILLA ROSE SANTANA NURSE PRACTITIONER ADULT HEALTH PLLC NPI is 1578118261. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

457 HILLMAN AVE
STATEN ISLAND, NY
ZIP 10314-318
Phone: (347) 322-8015

The provider's authorized official is Priscilla Rose Santana .
The authorized official title is Nurse Practitioner and has the following contact phone number (347) 322-8015.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05362712	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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