Individual
MISS ZOE MAKEBA BIGNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1197
(718) 918-5000
Mailing address
140 BENCHLEY PL APT 2H, BRONX, NY 10475-3549
(347) 944-3711
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
771884
NY
363LF0000X
Family Nurse Practitioner
353232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
353232
FNP LICENSE
NY
01
—
771884
RN LICENSE
NY
Enumeration date
11/18/2019
Last updated
05/03/2024
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