Most Relevant Information
Provider Data
| NPI Number: | 1003203266 |
| Provider Name: | PRISCILLA A. SEVERE RN(REGISTERED NURSE) |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 315747 |
Most Important Dates
| Enumeration Date: | 04/24/2015 |
| Last Updated: | 03/06/2018 |
Provider Practice Location
9 WEST PROSPECT AVENUE, SUITE 310
MOUNT VERNON
NY
10550
Practice Location Phone/Fax
| Phone: | 9146990022 |
| Fax: | 9146992154 |
Provider Mailing Location
9 WEST PROSPECT AVENUE, SUITE 310
MOUNT VERNON
NY
10550
Provider Mailing Phone/Fax
| Phone: | 9146990022 |
| Fax: | 9146992154 |