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Raquel Shivanna Sookram, FNP
Nurse Practitioner in Ridgewood, New York
NPI 1841807799

Raquel Shivanna Sookram is a Nurse Practitioner based in South Ozone Park, NY. Raquel Shivanna Sookram practices in Ridgewood, NY and has the professional credentials of FNP. The NPI Number for Raquel Shivanna Sookram is 1841807799 and holds a License No. F346461-01 (New York).

The current practice location address for Raquel Shivanna Sookram is 5505 Myrtle Ave, Ridgewood, NY and can be reached out via phone at 718-471-6454.

Location: 5505 Myrtle Ave, Ridgewood, NY, 11420-1424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841807799
Provider Name
Raquel Shivanna Sookram
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
5505 Myrtle Ave, Ridgewood, NY, 11420-1424
Phone Number
718-471-6454
Fax Number
Provider Enumeration Date
09/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5505 Myrtle Ave
City
Ridgewood
State
New York
Zip
11385-3550
Phone Number
718-471-6454
Fax Number
person
Provider Business Mailing Address Details
Address
5505 Myrtle Ave
City
Ridgewood
State
New York
Zip
11385-3550
Phone Number
718-471-6454
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
F346461-01 (New York)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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