Individual
MRS. JULIE LAUREN PENNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C, RN, CCRN
Contact information
Practice address
340 W PARK AVE, LONG BEACH, NY 11561-3213
(855) 605-4837
Mailing address
340 W PARK AVE, LONG BEACH, NY 11561-3213
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308809
NY
Other
Enumeration date
01/14/2019
Last updated
03/31/2021
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