Hannes Nose, LPN
Individual provider Active NPI Licensed Practical Nurse · Corona, NY
NPI 1992045306 · NPPES record last updated Feb 21, 2013
Key facts
- NPI
- 1992045306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 291516-1 (NY)
- Practice address
- 10823 36TH Ave
Corona, NY 11368-1205 - Phone
- (917) 337-2618
- NPI assigned
- Feb 21, 2013
- Sex
- Male
- 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 |
|---|---|---|---|
| 291516-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 291516-1 | NY | Yes |
Addresses
Primary practice location
10823 36TH Ave
Corona, NY 11368-1205
Mailing address
108-23 36TH Avenue
Corona, NY 11368
Phone (917) 337-2618
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All providers in Corona, NY · Licensed Practical 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 Feb 21, 2013. 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.