Individual
HERLANDE PENN DURANDISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
249 PENNSYLVANNIA AVE, BROOKLYN, NY 11207-3436
(347) 489-9954
Mailing address
1222 E 103RD ST, BROOKLYN, NY 11236-4502
(347) 489-9954
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F334928
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3108849
—
NY
Enumeration date
10/21/2008
Last updated
05/15/2024
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