Douglas, Waveney Virginia

Douglas, Waveney Virginia is an sole proprietor health care provider with primary practice located at 1382 Mcbride St , Far Rockaway NY 11691-3005. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Douglas, Waveney Virginia can be contacted via phone (718) 337-3976.

Contact Information

Primary practice address
1382 Mcbride St Far Rockaway NY 11691-3005
Phone: (718) 337-3976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 170906-1 New York

Profile Details

NPI number 1831210004
LBN Legal business name Douglas, Waveney Virginia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831210004 NPPES
New York Other 170906-1 LICENSED PRACTICAL NURSE
New York MEDICAID 01043329 LICENSED PRACTICAL NURSE

Popular Providers