Individual
ELEANOR FORBES PROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
374 STOCKHOLM ST, 8TH FLOOR, BROOKLYN, NY 11237-4006
(718) 963-6584
(718) 963-6425
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
658497-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382441
NY
Other
Enumeration date
07/06/2013
Last updated
04/04/2023
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