Waynette Bather-wilson RN

NPI 1407236342 - Registered Nurse - 163W00000X

NPI Details
NPI 1407236342
Gender Female
Enumeration Date 06/05/2015
Last Updated 06/05/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
263 BLUE POINT AVE
BLUE POINT NY, 11715-1224, US
Phone (631) 419-6737
Fax (631) 868-3498
Business Location
263 BLUE POINT AVE
BLUE POINT NY, 11715-1224, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 683080
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According to our database, Waynette Bather-wilson RN NPI is 1407236342, taxonomy code is 163W00000X and license number is 683080, license state is located at New York. Waynette Bather-wilson RN physically located at 263 Blue Point Ave, Blue Point NY, 11715-1224. NPI Number Waynette Bather-wilson RN has the Individual type.

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1407236342 NPI number is provided on an as is basis without warranty of any kind. 1407236342 is maintained by the National Plan & Provider Enumeration System. The contents of Waynette Bather-wilson RN are for informational purposes only.