Individual provider · Type 1 NPI
Prema Udayakumar Ethirajulu, NP
Nurse Practitioner · Oceanside, NY
Practice location
1 Healthy Way, E-3
Oceanside, NY 11572-1551
Fax (516) 336-2958
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F 306701 (NY) |
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 1811314487
Prema Udayakumar Ethirajulu, NP's National Provider Identifier is 1811314487, issued on Mar 21, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oceanside, NY. The record was last updated on Apr 28, 2015.