Individual
BREANNE LINDSY DIGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2384 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3523
(631) 672-4444
Mailing address
2384 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3523
(631) 672-4444
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308494
LPN LICENSE NUMBER
NY
Enumeration date
12/08/2011
Last updated
12/08/2011
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