SearchNew York164W00000X

Stephanie Providence, LPN

NPI 1699101923 · on the registry since 2013 · sole proprietor

Practice

Address
361 E 26th St
Brooklyn, NY 11226
Phone
(347) 444-9941

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York