Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA KATHERINE LOISELLE, RN
Active Sole ProprietorAMANDA KATHERINE LOISELLE, RN is a Pediatric Nurse healthcare provider located in LAKE GROVE, New York. NPI 1154657021 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse · LAKE GROVE, NY
Registration Details
- NPI Number
- 1154657021
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2009 (16.82921068221 yrs)
- Last Updated
- Oct 27, 2009
- License
-
22576519 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
79 MCGAW AVELAKE GROVE, NY, 117552024Browse NY providers · Browse ZIP 11755
- Phone
- 6316560820
- Primary Specialty
-
Pediatric Nurse
163WP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.