Millicent Fairclough, RN
Registered Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1164073367
StatusActive
Last updated in NPPESSep 27, 2019
Details
- NPI
- 1164073367
- Entity type
- Individual (NPI-1)
- Name
- Ms. Millicent Fairclough
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2019
- Last updated
- Sep 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 459909 | NY | Yes |
Practice location
681 Clarkson AveBrooklyn, NY 11203-2125
Phone 718-221-7499 · Fax 718-221-7272
Mailing address
681 Clarkson AveBrooklyn, NY 11203-2125
Phone 718-221-7499
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