Individual
JOAN PFEIFFER
Active
Individual
JOAN PFEIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F300855
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
300855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02415983
—
NY
01
—
NP0413
PREFERRED CARE
NY
01
—
P019300855
BLUE CHOICE
NY
Enumeration date
08/14/2006
Last updated
08/26/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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