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

MRS. PREMA UDAYAKUMAR ETHIRAJULU, NP

Active

MRS. PREMA UDAYAKUMAR ETHIRAJULU, NP is a Nurse Practitioner healthcare provider located in OCEANSIDE, New York. NPI 1811314487 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · OCEANSIDE, NY

Registration Details

NPI Number
1811314487
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2014 (12.411776958441 yrs)
Last Updated
Apr 28, 2015
License
F 306701 (NY)

Practice Information

Address
1 HEALTHY WAY
E-3
OCEANSIDE, NY, 115721551
Browse NY providers · Browse ZIP 11572
Phone
5166323640
Fax
5163362958
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in OCEANSIDE, NY

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LINDA CITRO N.P. 1841277050
MRS. PRECILLIA YOLANDE FAIRMAN FNP-BC 1154651941
TINDU ARIKUPURATHU 1912472010
THERESA CLARKE NP-C 1497350383
CHARITO PATEL NP 1518554500
TZVI GERLITZ NP 1811697063
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.