Individual
MRS. CORRENE WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC, RLC
Contact information
Practice address
35-36 76TH STREET, APARTMENT 509, JACKSON HEIGHTS, NY 11372-4521
(347) 287-5278
Mailing address
P.O. BOX 720831, JACKSON HEIGHTS, NY 11372-4521
(347) 287-5278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
599780-1
NY
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
599780-1
NY
Other
Enumeration date
11/19/2007
Last updated
09/06/2015
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