Provider Demographics
NPI:1013116243
Name:JOSEPH, NANCY (RN)
Entity Type:Individual
Prefix:MISS
First Name:NANCY
Middle Name:
Last Name:JOSEPH
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 1:40 MOORE AVE
Mailing Address - Street 2:APT 3 K
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3115
Mailing Address - Country:US
Mailing Address - Phone:914-406-9559
Mailing Address - Fax:
Practice Address - Street 1:40 MOORE AVE
Practice Address - Street 2:APT 3 K
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3115
Practice Address - Country:US
Practice Address - Phone:914-406-9559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22569384163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical