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Individual

MISS DEBRA ROSEMARY CROOKENDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN RN

Contact information

Practice address
3472 BERTHA DR, BALDWIN, NY 11510-5052
(845) 777-5835
Mailing address
3472 BERTHA DR, BALDWIN, NY 11510-5052
(845) 777-5835

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
568460
NY
163WC0200X
Critical Care Medicine Registered Nurse
568460
NY
163WC2100X
Continence Care Registered Nurse
568460
NY
163WC3500X
Cardiac Rehabilitation Registered Nurse
568460
NY
163WD0400X
Diabetes Educator Registered Nurse
568460
NY
163WD1100X
Peritoneal Dialysis Registered Nurse
568460
NY
163WE0900X
Enterostomal Therapy Registered Nurse
568460
NY
163WG0600X
Gerontology Registered Nurse
568460
NY
163WH0200X
Home Health Registered Nurse
568460
NY
163WI0500X
Infusion Therapy Registered Nurse
568460
NY
163WM0705X
Medical-Surgical Registered Nurse
568460
NY
163WP0000X
Pain Management Registered Nurse
568460
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
568460
NY
163WR0400X
Rehabilitation Registered Nurse
Primary
568460
NY
163WU0100X
Urology Registered Nurse
568460
NY

Other

Enumeration date
07/27/2023
Last updated
08/04/2023
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