Individual
VONETTA HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 BAYWOOD DR, SHIRLEY, NY 11967-3705
(631) 605-0223
Mailing address
5 BAYWOOD DR, SHIRLEY, NY 11967-3705
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
678010
NY
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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