Individual provider · NPI-1
Romina A Cevallos, RN
Registered Nurse, General Practice · Bay Shore, NY
NPI number1154044790
StatusActive
Last updated in NPPESSep 20, 2022
Details
- NPI
- 1154044790
- Entity type
- Individual (NPI-1)
- Name
- Romina A Cevallos
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2022
- Certification date
- Sep 20, 2022
- Last updated
- Sep 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 85237301 | NY | Yes |
Practice location
5 Willowbrook Ave Apt 5aBay Shore, NY 11706-8532
Phone 934-500-9162
Mailing address
5 Willowbrook Ave Apt 5aBay Shore, NY 11706-8532
Phone 934-500-9162
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