Individual
MRS. LAVERN WILSON-DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1057 EASTERN PKWY, APT 2D, BROOKLYN, NY 11213-4859
(347) 529-3446
Mailing address
1057 EASTERN PKWY, APT 2D, BROOKLYN, NY 11213-4859
(347) 529-3446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
609630
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402477
NY
Other
Enumeration date
08/10/2009
Last updated
07/18/2023
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