Individual provider · Type 1 NPI
Roannie Divine Papa Santos, FNP
Family Nurse Practitioner · Bayside, NY
NPI number
1275925877
Active
Practice location
4401 Francis Lewis Blvd Ste L3A
Bayside, NY 11361-3028
Mailing address
1 Gustave L. Levy Place, Box 1030 (cath Lab)
New York, NY 10029
Other practice locations
- 1 Gustave L. Levy Place, Box 1030 (cath Lab), New York, NY 10029 · (212) 241-6500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F339421-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275925877
Roannie Divine Papa Santos, FNP's National Provider Identifier is 1275925877, issued on Feb 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bayside, NY. The record was last updated on Jan 10, 2022.