Individual
VANESSA PABON INNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-0914
Mailing address
2 STUYVESANT OVAL APT 5F, NEW YORK, NY 10009-2114
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432343
NY
Other
Enumeration date
08/10/2022
Last updated
04/20/2023
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