Shrouder, Vernica A
Shrouder, Vernica A is an sole proprietor health care provider with primary practice located at 5637 188Th St , Fresh Meadows NY 11365-2230. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Shrouder, Vernica A can be contacted via phone (718) 357-4650.Contact Information
Primary practice address
5637 188Th St
Fresh Meadows NY 11365-2230
Phone: (718) 357-4650
Fax: (718) 357-3507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 00000 | New York |
Profile Details
NPI number | 1396006912 |
---|---|
LBN Legal business name | Shrouder, Vernica A |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 30th, 2012 |
Last updated | May 30th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396006912 | NPPES |
New York | MEDICAID | 0462174 |
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