Individual
LA'NAE NA GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1485 BUFFETT TER, TEANECK, NJ 07666-6027
(917) 744-4052
Mailing address
1485 BUFFETT TER, TEANECK, NJ 07666-6027
(917) 744-4052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F351612
NY
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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