Provider Demographics
NPI:1366780314
Name:DRILLINGS, FERN (RN)
Entity type:Individual
Prefix:MS
First Name:FERN
Middle Name:
Last Name:DRILLINGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 69TH ST APT 12P
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5722
Mailing Address - Country:US
Mailing Address - Phone:212-744-6649
Mailing Address - Fax:
Practice Address - Street 1:150 E 69TH ST APT 12P
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5722
Practice Address - Country:US
Practice Address - Phone:212-744-6649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307883-1163W00000X, 163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn