Individual provider · Type 1 NPI
Kimberly Marie Distasio
Registered Nurse · Ogdensburg, NY
Practice location
1 Chimney Point Dr
Ogdensburg, NY 13669-2291
Mailing address
96 Gulf Rd
Colton, NY 13625-3190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 753082 (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 1700607488
Kimberly Marie Distasio's National Provider Identifier is 1700607488, issued on Oct 24, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Ogdensburg, NY. The record was last updated on Oct 24, 2024.