Kathleen Vollgraff, RN
Registered Nurse, Home Health in Hauppauge, NY. Individual provider (NPI-1).
NPI number1275854986
StatusActive
Last updated in NPPESJun 16, 2010
Details
- NPI
- 1275854986
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Vollgraff
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2010
- Last updated
- Jun 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 447776 | NY | Yes |
| 163W00000X | Registered Nurse | 447776 | NY | |
| 163WG0600X | Registered Nurse, Gerontology | 447776 | NY | |
| 163WM0705X | Registered Nurse, Medical-Surgical | 447776 | NY |
Practice location
888 Veterans Memorial HwySuite210
Hauppauge, NY 11788-2950
Phone 631-232-6030
Mailing address
35 Smith StNesconset, NY 11767-3337
Phone 631-467-4226
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