Individual provider · Type 1 NPI
Linda Massanova
Family Nurse Practitioner · Staten Island, NY
NPI number
1447349980
Active
Practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Fax (718) 226-6133
Mailing address
5 Eugene St
Staten Island, NY 10309-3205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F334009 (NY) |
| Adult Health Nurse Practitioner | 363LA2200X | F301235 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447349980
Linda Massanova's National Provider Identifier is 1447349980, issued on Oct 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 6, 2009.