Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 5006326 | NC |
Y | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | 382024 | NY |
NPI | 1043446495 |
---|---|
Provider Name | Mrs. Somer C Delsignore |
First Address | Poughkeepsie, NY 12601-8111 |
Second Address | Poughkeepsie, NY 12601-8111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2009 |
Last Update Date | 24/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03172305 | (05) | NY |
1043446495 | (05) | NC |
A400023221-201 | (02) | |
A400023330-202 | (02) | |
NP2472 | (05) | SC |