Provider Demographics
NPI:1053905935
Name:KURTEN, SARA C (RN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:C
Last Name:KURTEN
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 1:7 LYNHAVEN PL
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3107
Mailing Address - Country:US
Mailing Address - Phone:631-609-0032
Mailing Address - Fax:
Practice Address - Street 1:6 BRIAN ST
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5103
Practice Address - Country:US
Practice Address - Phone:317-660-0158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY795718163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health