Individual
REDEANA UMLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2386 JEROME AVE, BRONX, NY 10468-6401
(718) 220-1771
Mailing address
2386 JEROME AVE, BRONX, NY 10468-6401
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383248
NY
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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