PRUNELLA DICKERSON
Licensed Practical Nurse
Active
Individual
NPI: 1407177546
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 184863 (NY) |
Frequently Asked Questions
NPI 1407177546 is the National Provider Identifier for PRUNELLA DICKERSON, a Licensed Practical Nurse provider located in Brooklyn, NY. This NPI was enumerated on June 11, 2010.
PRUNELLA DICKERSON practices at 2505 TILDEN AVE STE 101, Brooklyn, NY 11226.
Quick Facts
- NPI
- 1407177546
- Type
- Individual
- Enumerated
- Jun 11, 2010
- Last Updated
- Sep 17, 2012
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