Provider Demographics
NPI:1003132846
Name:NERO, NAEEMAH D (LPN)
Entity Type:Individual
Prefix:MISS
First Name:NAEEMAH
Middle Name:D
Last Name:NERO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 BEATTIE ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1154
Mailing Address - Country:US
Mailing Address - Phone:315-372-1984
Mailing Address - Fax:
Practice Address - Street 1:211 BEATTIE ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13224-1154
Practice Address - Country:US
Practice Address - Phone:315-372-1984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269905164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse