Organization · Type 2 NPI

Blue Sky Family Health Nurse Practitioner PLLC

Nurse Practitioner · Massapequa, NY

NPI number 1790493286 Active

Practice location

218 N Wyoming Ave
Massapequa, NY 11758-1567

Mailing address

165 N Village Ave Ste 12
Rockville Ctr, NY 11570-3701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790493286

Blue Sky Family Health Nurse Practitioner PLLC's National Provider Identifier is 1790493286, issued on Nov 14, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Massapequa, NY. The record was last updated on Nov 14, 2022.