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NPI 1154544500 · live from the CMS NPI Registry

Fern Baudo, RN, NP BC APRN

Nurse Practitioner, Adult Health in Williston Park, NY. National Provider Identifier 1154544500, active.

NPI record

NPI1154544500 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Adult Health 363LA2200X
Practice location108 Capitol Ave, Williston Park, NY 11596
Practice phone646-235-4633
Mailing address283 E 4th St, Apt #5a, New York, NY 10009
EnumeratedApril 11, 2007
Last updatedSeptember 26, 2012
Sole proprietorNo
Other namesFern Wasserman

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Hospice163WH1000X476531 (NY)
Nurse Practitioner, Adult Health primary363LA2200XF303237 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.