Janine Nilsson
Individual provider Active NPI Home Health Registered Nurse · East Moriches, NY
NPI 1356759062 · NPPES record last updated Jul 25, 2014
Key facts
- NPI
- 1356759062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 342868-1 (NY)
- Practice address
- 35 Memorial Blvd
East Moriches, NY 11940-1438 - Phone
- (631) 878-3605
- NPI assigned
- Jul 25, 2014
- 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 |
|---|---|---|---|
| 342868-1 | NY | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 342868-1 | NY | Yes |
Addresses
Primary practice location
35 Memorial Blvd
East Moriches, NY 11940-1438
Mailing address
35 Memorial Blvd
East Moriches, NY 11940-1438
Phone (631) 878-3605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J9NURSE | Medicaid | NY |
Other providers in East Moriches, NY
- Regina G Muir
- Tia Marie Rose Murphy
- Amy Margaret Nardi
- Carolyn Ann Niebuhr
- Tara Nielsen
- North Shore Hematology Oncology Associates PC
- Hugh George O'Henry
- Ocean Spa Long Island, LLC
- Amanda Osorio
- Melanie Marlene Palmaccio
All providers in East Moriches, NY · Home Health 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 Jul 25, 2014. 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.