Individual provider · Type 1 NPI

Elisabeth Renai Loccisano, RN, NP

Family Nurse Practitioner · Valley Stream, NY

NPI number 1023688173 Active

Practice location

900 Franklin Ave
Valley Stream, NY 11580-2145

Mailing address

PO Box 1242
West Babylon, NY 11704-0242

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X348313 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1023688173

Elisabeth Renai Loccisano, RN, NP's National Provider Identifier is 1023688173, issued on Jun 30, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Valley Stream, NY. The record was last updated on Aug 23, 2021.