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Individual

MS. MARCIA ENGELHARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PNP

Contact information

Practice address
10 DOWNING ST, 5W, NEW YORK, NY 10014-4734
(212) 675-1879
Mailing address
10 DOWNING ST, 5W, NEW YORK, NY 10014-4734
(212) 675-1879

Taxonomy

Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
380109
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
380109
STATE LICENSE
NY
Enumeration date
05/23/2012
Last updated
05/23/2012
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