Provider Demographics
NPI:1508265356
Name:GHARBI, NERINGA (RN)
Entity Type:Individual
Prefix:MS
First Name:NERINGA
Middle Name:
Last Name:GHARBI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 SPRINGMEADOW DR UNIT D
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-4113
Mailing Address - Country:US
Mailing Address - Phone:631-868-3872
Mailing Address - Fax:
Practice Address - Street 1:208 SPRINGMEADOW DR UNIT D
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-4113
Practice Address - Country:US
Practice Address - Phone:631-868-3872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY690623163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse