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NPI Code Detail

MEDICARE: MRS. SALINA N NORDSTROM FNP

MEDICARE: MRS. SALINA N NORDSTROM FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner333698NY

General Provider Information

NPI Number : 1720256571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SALINA N NORDSTROM FNP
Provider Business Mailing Address
First Line : 11 PINE AVE
Second Line :
City : CONGERS
State : NY
Zip : 10920-1827
Country : US
Telephone Number : 914-450-3580
Fax Number :
Provider Business Practice Location Address
First Line : 10 WOODS RD
Second Line :
City : VALHALLA
State : NY
Zip : 10595-1529
Country : US
Telephone Number : 914-493-8717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2008
Last Update Date : 02/14/2008

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