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Individual
JANINE IRENE BRINK
Active
Individual
JANINE IRENE BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
631368
NY
363LF0000X
Family Nurse Practitioner
Primary
340861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02292400
—
NY
Enumeration date
02/21/2008
Last updated
02/21/2017
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