Individual provider · Type 1 NPI

Petula Anesia Anderson, REGISTERED NURSE

Registered Nurse · Hicksville, NY

NPI number 1093109209 Active

Practice location

20 Jerusalem Ave, 3rd Floor
Hicksville, NY 11801-4980

Call (516) 326-2020 Map

Fax (516) 719-7373

Mailing address

350 Empire Blvd Apt 2C
Brooklyn, NY 11225-3252

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X695171 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1093109209

Petula Anesia Anderson, REGISTERED NURSE's National Provider Identifier is 1093109209, issued on Mar 25, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Hicksville, NY. The record was last updated on Mar 25, 2015.