Individual provider · Type 1 NPI

Anni T. Thadavila, R.N., B.S.N.

Medical-Surgical Registered Nurse · Brooklyn, NY

NPI number 1245357078 Active

Practice location

699 92nd St
Brooklyn, NY 11228-3619

Call (718) 567-1234 Map

Mailing address

15 Hay St
Staten Island, NY 10304-4464

Specialties and licenses

Taxonomy	Code	License
Medical-Surgical Registered Nurse Primary	163WM0705X	451559-1 (NY)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1245357078

Anni T. Thadavila, R.N., B.S.N.'s National Provider Identifier is 1245357078, issued on Mar 25, 2007. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.