Serena Scott, LPN

Individual provider Active NPI Licensed Practical Nurse · Valley Stream, NY

NPI 1134880883 · NPPES record last updated Jan 5, 2022

Key facts

NPI
1134880883
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
342845 (NY)
Practice address
50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Phone
(516) 569-6600
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
342845NYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 342845 NY Yes

Addresses

Primary practice location

50 W Hawthorne Ave
Valley Stream, NY 11580-6223

Mailing address

50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Phone (516) 569-6600

Other providers in Valley Stream, NY

All providers in Valley Stream, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.