Nixon, Perrine C

Nixon, Perrine C is an sole proprietor health care provider with primary practice located at 50 Route 111 Ste 204 , Smithtown NY 11787-3700. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Nixon, Perrine C can be contacted via phone (631) 724-4690.

Contact Information

Primary practice address
50 Route 111 Ste 204 Smithtown NY 11787-3700
Phone: (631) 724-4690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4256771 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400358 New York

Profile Details

NPI number 1922112028
LBN Legal business name Nixon, Perrine C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922112028 NPPES
New York MEDICAID 00355019

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