Individual
PAULINE KRISTIN MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4310 ROCKAWAY BEACH BLVD # 1, FAR ROCKAWAY, NY 11691-1222
(347) 938-4999
Mailing address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
(718) 828-2666
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
0138285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138285
LPN
NY
Enumeration date
09/05/2018
Last updated
09/05/2018
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