Individual
NATHALIE LEROUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 W 23RD ST, DEER PARK, NY 11729-4816
(917) 683-1908
Mailing address
194 W 23RD ST, DEER PARK, NY 11729-4816
(917) 683-1908
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
942000
NY
164W00000X
Licensed Practical Nurse
312179
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312179
LPN LICENSE
NY
Enumeration date
11/20/2012
Last updated
06/06/2025
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