Individual
NANCY VENDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
99 CAMERON ST, PINE BUSH, NY 12566-7113
(845) 343-7614
(845) 343-5390
Mailing address
21 ORCHARD ST, PO BOX 987, MIDDLETOWN, NY 10940-5004
(845) 343-7614
(845) 343-5390
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380948
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355931
—
NY
05
—
00473038
—
NY
Enumeration date
09/29/2006
Last updated
08/26/2008
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