Provider Demographics
NPI:1699866194
Name:GUASTINI-BROWN, NADIA ANNE (NNP)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:ANNE
Last Name:GUASTINI-BROWN
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:G
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NNP
Mailing Address - Street 1:52 PAMELA RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-7118
Mailing Address - Country:US
Mailing Address - Phone:914-734-2484
Mailing Address - Fax:
Practice Address - Street 1:95 GRASSLANDS RD
Practice Address - Street 2:MARIA FARERI CHILDREN'S HOSPITAL RNICU 2ND FLOOR
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1646
Practice Address - Country:US
Practice Address - Phone:914-493-7000
Practice Address - Fax:914-493-5049
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY350197363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal