Individual
ESSENCE MIRELL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSNED RN
Contact information
Practice address
36 HARFORD DR, CORAM, NY 11727-2909
(631) 681-2060
Mailing address
36 HARFORD DR, CORAM, NY 11727-2909
(631) 681-2060
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
826958-1
NY
164W00000X
Licensed Practical Nurse
316557
NY
Other
Enumeration date
08/05/2014
Last updated
04/22/2023
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