Healthcare Provider Details

I. General information

NPI: 1275476822
Provider Name (Legal Business Name): OLGA MARGARITA NUNEZ PALENCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 92ND ST APT 2R
BROOKLYN NY
11209-6438
US

IV. Provider business mailing address

545 92ND ST APT 2R
BROOKLYN NY
11209-6438
US

V. Phone/Fax

Practice location:
  • Phone: 407-718-1574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number359438
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: