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Individual

MRS. FERN BAUDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NP BC APRN

Contact information

Practice address
108 CAPITOL AVE, WILLISTON PARK, NY 11596-1621
(646) 235-4633
Mailing address
283 E 4TH ST, APT #5A, NEW YORK, NY 10009-7533
(646) 235-4633
(646) 964-4994

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
476531
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F303237
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F303237
NP LICENSE NUMBER
NY
Enumeration date
04/11/2007
Last updated
09/26/2012
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