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AUDREY PAMELLA HOOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
41 PARK ROW, STE. 313, NEW YORK, NY 10038-1508
(212) 346-1600
(212) 346-1308
Mailing address
940 GRAND CONCOURSE, #5K, BRONX, NY 10451-2724
(646) 541-4765

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331735-1
NY
363LW0102X
Women's Health Nurse Practitioner
F331735-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
94N841
MEDICARE
NY
Enumeration date
02/15/2008
Last updated
08/05/2011
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