Individual
MR. EVAN PATRICK MCKIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC, OCN
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(718) 809-3226
Mailing address
128 UPPER LAKEVIEW AVE, RINGWOOD, NJ 07456-2832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351122
NY
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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