NPI 1174295091
Nicole Sadusk
Practice location
- Address
- 1500 Beville Rd STE 403, Daytona Beach, FL 32114-5644
- Phone
- (386) 253-6634
- Mailing address
- 191 Azure Mist Way, Daytona Beach, FL 32124-3704
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1174295091
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Sep 2021
- Record last updated
- 29 Sep 2021
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.