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Individual

MRS. DEIDRE LEANN BALES-POIROT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP-PC

Contact information

Practice address
301 MANCHESTER RD STE 105, POUGHKEEPSIE, NY 12603-2587
(845) 452-1700
Mailing address
301 MANCHESTER RD STE 105, POUGHKEEPSIE, NY 12603-2587

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2004014988
MO
163W00000X
Registered Nurse
815916
NY
163W00000X
Registered Nurse
R0101133
OK
163W00000X
Registered Nurse
RN206703
AZ
363LP0200X
Pediatric Nurse Practitioner
2004014988
MO
363LP0200X
Pediatric Nurse Practitioner
AP10033
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
F383232
NY
363LP0200X
Pediatric Nurse Practitioner
R0101131
OK

Other

Enumeration date
11/25/2008
Last updated
06/01/2021
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