DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

YOHANNES WARDHANA

Active Sole Proprietor

YOHANNES WARDHANA is a Registered Nurse healthcare provider located in ELMHURST, New York. NPI 1780942458 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · ELMHURST, NY

Registration Details

NPI Number
1780942458
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2012 (14.31711498387 yrs)
Last Updated
Jun 5, 2015
Licenses
307334 (NY)
700163-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
8007 45TH AVE
1ST FLOOR
ELMHURST, NY, 113733544
Browse NY providers · Browse ZIP 11373
Phone
9176525846
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in ELMHURST, NY

Name Credential NPI
DAWA SHERPA 1235370347
MRS. ANITA LUZ ANGELES SAJULGA R.N. 1952532723
MS. YEE NOK YU R.N 1891026050
SHIRLEY PANG R.N. 1457673188
MR. DAN BASIL BIBERA TE ENG FO RN 1184922015
MR. BYUNG CHAN BAE RN 1588956775
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.