Phillicia Audain
Individual provider Active NPI Registered Nurse · Westbury, NY
NPI 1255899654 · NPPES record last updated Mar 5, 2019
Key facts
- NPI
- 1255899654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 668611 (NY)
- Practice address
- 18 Cedar Rd
Westbury, NY 11590-2728 - Phone
- (516) 467-7855
- NPI assigned
- Mar 5, 2019
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 668611 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 668611 | NY | Yes |
Addresses
Primary practice location
18 Cedar Rd
Westbury, NY 11590-2728
Mailing address
18 Cedar Rd
Westbury, NY 11590-2728
Phone (516) 467-7855
Other providers in Westbury, NY
- Kalije Asllani
- Peace Assogba
- John Douglas Aston
- Stephen S Athan
- Atm Yousuf Physician PC
- Alourde Augustin
- Aurus Service Center of New York, LLC
- Arthur Autz
- Jacqulyn Avione
- B & a Chiropractic PLLC
All providers in Westbury, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.