Nicole Marie Pena, LPN

NPI #1184981946 in Selden, New York

Provider Information

NPI Number
1184981946
Entity Type
Individual
Name
Nicole Marie Pena, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 18, 2012
Last Updated
Apr 18, 2012

Practice Location

Address
14 KING AVE
City
Selden
ZIP Code
11784-2315
Phone
(631) 732-6017

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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