Individual
LORRAINE MARIE AMUNDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
455 HUGUENOT AVE, STATEN ISLAND, NY 10312-1101
(718) 227-5396
Mailing address
455 HUGUENOT AVE, STATEN ISLAND, NY 10312-1101
(718) 227-5396
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
378905-1
NY
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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