Ederlande Jean
Licensed Practical Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1184001968
StatusActive
Last updated in NPPESApr 30, 2015
Details
- NPI
- 1184001968
- Entity type
- Individual (NPI-1)
- Name
- Ederlande Jean
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2015
- Last updated
- Apr 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 313262-1 | NY | Yes |
Practice location
85 Bartlett StBrooklyn, NY 11206-4429
Phone 718-387-8181
Mailing address
1655 Flatbush Ave Apt C704Brooklyn, NY 11210-6934
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