Individual provider · Type 1 NPI
Raquel Shivanna Sookram, FNP
Nurse Practitioner · Ridgewood, NY
Practice location
5505 Myrtle Ave
Ridgewood, NY 11385-3550
Mailing address
10922 123rd St
South Ozone Park, NY 11420-1424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F346461-01 (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…
4 other providers at this address
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About NPI 1841807799
Raquel Shivanna Sookram, FNP's National Provider Identifier is 1841807799, issued on Sep 24, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ridgewood, NY. The record was last updated on Sep 24, 2020.