Individual
ANN PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
680546
NY
163W00000X
Registered Nurse
9276799
FL
163WH0200X
Home Health Registered Nurse
680546
NY
Other
Enumeration date
02/15/2008
Last updated
02/03/2017
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