Individual provider · NPI-1
Eileen Luongo, RN
Registered Nurse, Addiction (Substance Use Disorder) · Davie, FL
NPI number1194293779
StatusActive
Last updated in NPPESNov 13, 2018
Details
- NPI
- 1194293779
- Entity type
- Individual (NPI-1)
- Name
- Eileen Luongo
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2018
- Last updated
- Nov 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | RN2068892 | FL | Yes |
| 163WC0400X | Registered Nurse, Case Management | RN2068892 | FL | |
| 163WC1500X | Registered Nurse, Community Health | RN2068892 | FL | |
| 163WC1600X | Registered Nurse, Continuing Education/Staff Development | RN2068892 | FL | |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | RN2068892 | FL |
Practice location
8300 Sw 44th CtDavie, FL 33328-2993
Phone 954-560-5238
Mailing address
8300 Sw 44th CtDavie, FL 33328-2993
Phone 954-560-5238
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