Provider Demographics
NPI:1548738818
Name:SQUADRITO, MARIA STRANO
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:STRANO
Last Name:SQUADRITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 POMAHINA PL
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3549
Mailing Address - Country:US
Mailing Address - Phone:315-571-4663
Mailing Address - Fax:
Practice Address - Street 1:821 POMAHINA PL
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3549
Practice Address - Country:US
Practice Address - Phone:315-571-4663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307088164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse