Healthcare Provider Details

I. General information

NPI: 1053703652
Provider Name (Legal Business Name): NADINE ST PIERRE REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2015
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28-11 QUEENS PLAZA NORTH
LONG ISLAND CITY NY
11101
US

IV. Provider business mailing address

314 PARKER STREET APT 4P
NEWARK NJ
07104
US

V. Phone/Fax

Practice location:
  • Phone: 718-391-8300
  • Fax:
Mailing address:
  • Phone: 347-254-2037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number320826-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberN07278-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: