Individual
BARBARA NAN WILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
320 CAMBON AVE, SAINT JAMES, NY 11780-2534
(631) 584-3995
Mailing address
320 CAMBON AVE, SAINT JAMES, NY 11780-2534
(631) 584-3995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336348
NY
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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