Provider Demographics
NPI:1245476332
Name:GIUMARRA, NADIA ANN (RN)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:ANN
Last Name:GIUMARRA
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 1:7 BAYBERRY CT
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-1410
Mailing Address - Country:US
Mailing Address - Phone:518-798-7838
Mailing Address - Fax:
Practice Address - Street 1:7 BAYBERRY CT
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-1410
Practice Address - Country:US
Practice Address - Phone:518-798-7838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY511579-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse