Individual
BARBARA ANN NERVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11328 DRAKE RD, CATO, NY 13033-3258
(315) 626-2630
Mailing address
11328 DRAKE RD, CATO, NY 13033
(315) 626-2630
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
168548-1
NY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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