Individual
MS. ANDRIANA P STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10728 139TH ST, NONE, JAMAICA, NY 11435-5215
(718) 795-7259
Mailing address
10728 139TH ST, NONE, JAMAICA, NY 11435-5215
(718) 795-7259
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
540962-1
NY
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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