Provider Demographics
NPI:1922326354
Name:SENTENEY, SUKANYA NOOPIM (RN)
Entity Type:Individual
Prefix:MRS
First Name:SUKANYA
Middle Name:NOOPIM
Last Name:SENTENEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SUKANYA
Other - Middle Name:
Other - Last Name:NOOPIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5825 RUSSETT RD APT 2D
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-3495
Mailing Address - Country:US
Mailing Address - Phone:608-772-9509
Mailing Address - Fax:
Practice Address - Street 1:5825 RUSSETT RD APT 2D
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-3495
Practice Address - Country:US
Practice Address - Phone:608-772-9509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI172372-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse