CLANCY WALLERSON NPI 1407168776

NPI Information

NPI: 1407168776
Provider Name: CLANCY WALLERSON
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
22011 145TH RD
SPRINGFIELD GARDENS, NY
ZIP 11413
Phone: (347) 748-2184
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Clancy Wallerson is a school registered nurse in Springfield Gardens, NY. Clancy Wallerson NPI is 1407168776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22011 145TH RD
SPRINGFIELD GARDENS, NY
ZIP 11413-420
Phone: (347) 748-2184

The enumeration date for this NPI number is 7/2/2010 and was last updated on 7/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	5510351	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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