NPI 1013491380

Basdai Sirju Sookoor, RNCCM

Practitioner Case Management Registered Nurse Brandon, FL

Practice location

Address: 1420 Mallory Sail Pl, Brandon, FL 33511-2387
Phone: (813) 727-7131

Registered specialties

Case Management Registered Nurse Primary

Nursing Service Providers Taxonomy 163WC0400X Licence 9216102 (FL)

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Registry record

NPI: 1013491380
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2018
Record last updated: 21 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.