Individual
DEANNA ROSE BOVA BRANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
446 ROUTE 304, BARDONIA, NY 10954-1617
(845) 623-8031
Mailing address
446 ROUTE 304, BARDONIA, NY 10954-1617
(845) 623-8031
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383339
NY
Other
Enumeration date
01/12/2022
Last updated
08/21/2023
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