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
Phone: (151) 825-8874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1871219220 | NPPES |
| New York | Other | 724776 | NURSING LICENSE, RN |
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