Provider Demographics
NPI:1285856963
Name:OUNG, SIVINATH (RN)
Entity Type:Individual
Prefix:MR
First Name:SIVINATH
Middle Name:
Last Name:OUNG
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 HOPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-1505
Mailing Address - Country:US
Mailing Address - Phone:401-595-6786
Mailing Address - Fax:
Practice Address - Street 1:95 HOPKINS AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-1505
Practice Address - Country:US
Practice Address - Phone:401-595-6786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN43431163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse