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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1396006912 NPPES
New York MEDICAID 0462174

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