IndividualActive
Emily Colletti, BSN, RN
NPI 1508708363 · Emergency Registered Nurse · Lake Grove, NY
Provider details
- NPI number
- 1508708363
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- BSN, RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 888650 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
26 Beaumont Ln
Lake Grove, NY 11755-2704
Phone: (570) 801-1625
Approximate (ZIP-level) locationGet directions
Mailing address
26 Beaumont Ln
Lake Grove, NY 11755-2704
Registry dates
- Enumerated
- 2026-04-08
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.