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Organization
NIGHTINGALE NURSE PRACTITIONER FAMILY PRACTICE, PC
Active
Organization
NIGHTINGALE NURSE PRACTITIONER FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY MEDINA-KREPPEIN I FNP (OWNER)
(917) 796-5088
Entity
Organization
Contact information
Practice address
2280 N OCEAN AVE, FARMINGVILLE, NY 11738-2911
(631) 282-8450
Mailing address
2280 N OCEAN AVE, FARMINGVILLE, NY 11738-2911
(631) 282-8450
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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