Angus, Serena

Angus, Serena is an individual health care provider with primary practice located at 31 6Th St , Malone NY 12953-1246. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Angus, Serena can be contacted via phone (518) 483-3261.

Contact Information

Primary practice address
31 6Th St Malone NY 12953-1246
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 324413-1 New York

Profile Details

NPI number 1699272435
LBN Legal business name Angus, Serena
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 8 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 1699272435 NPPES
New York MEDICAID 324413-1
New York Other 324413-1

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