Scully, Sara Renee

Scully, Sara Renee is an sole proprietor health care provider with primary practice located at 11 Denkers Dr , Ballston Lake NY 12019-2228. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Scully, Sara Renee can be contacted via phone (151) 825-8874.

Contact Information

Primary practice address
11 Denkers Dr Ballston Lake NY 12019-2228
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 724776 New York

Profile Details

NPI number 1871219220
LBN Legal business name Scully, Sara Renee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2022
Last updated Oct 18th, 2022 - about 3 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 1871219220 NPPES
New York Other 724776 NURSING LICENSE, RN

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