Individual
MS. RUTHE NORBRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH. NP
Contact information
Practice address
16110 JAMAICA AVE, JAMAICA, NY 11432-6139
(516) 491-1874
Mailing address
138 OLIVER AVE, VALLEY STREAM, NY 11580-1626
(347) 358-1297
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403471-01
NY
Other
Enumeration date
11/13/2010
Last updated
12/08/2021
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