Individual
MRS. EBONY ANNA EDOUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(718) 542-0255
Mailing address
51 HERRICK AVE, TEANECK, NJ 07666-4155
(646) 732-9064
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
629854
NY
363LF0000X
Family Nurse Practitioner
Primary
349869
NY
Other
Enumeration date
01/31/2019
Last updated
12/22/2022
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