Individual provider · Type 1 NPI
Tina Marie Widergren, RN
Registered Nurse · Hauppauge, NY
Practice location
367 Bridge Rd
Hauppauge, NY 11788-5235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | N45554 (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 1346163458
Tina Marie Widergren, RN's National Provider Identifier is 1346163458, issued on Aug 4, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Hauppauge, NY. The record was last updated on Aug 4, 2026.