Cordell Laferne Maule, NP
Nurse Practitioner, Adult Health in New York, NY. Individual provider (NPI-1).
NPI number1982016127
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1982016127
- Entity type
- Individual (NPI-1)
- Name
- Cordell Laferne Maule
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2014
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 305590-1 | NY | Yes |
Practice location
220 E 42nd StFl 6
New York, NY 10017-5831
Phone 646-453-6900 · Fax 646-524-8323
Mailing address
11607 220th StCambria Heights, NY 11411-1624
Phone 718-527-3477
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