Individual
NANCY ANN ENTERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 NICOLLS RD, STONY BROOK UNIVERSITY MEDICAL CENTER, L11 N, STONY BROOK, NY 11790-3407
(631) 444-2730
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F350316
NY
Other
Enumeration date
09/10/2010
Last updated
05/09/2015
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