Individual
LAURA FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1708 PARKVIEW AVE APT 1, BRONX, NY 10461-5014
(817) 791-7131
Mailing address
31023 COUNTY ROAD 435, SORRENTO, FL 32776-7521
(817) 791-7131
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
753676
NY
163WI0500X
Infusion Therapy Registered Nurse
9340289
FL
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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