Samuelsen, Heather Marie

Samuelsen, Heather Marie is an sole proprietor health care provider with primary practice located at 46 Washington Avenue , Mastic Beach NY 11951-1915. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Samuelsen, Heather Marie can be contacted via phone (631) 772-8310.

Contact Information

Primary practice address
46 Washington Avenue Mastic Beach NY 11951-1915
Phone: (631) 772-8310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 10-307069 New York

Profile Details

NPI number 1780968305
LBN Legal business name Samuelsen, Heather Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2011
Last updated Sep 30th, 2011 - about 14 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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