Healthcare Provider Details

I. General information

NPI: 1629994371
Provider Name (Legal Business Name): MURIELLE JEAN-BAPTISTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 STERLING ST
BROOKLYN NY
11225-4261
US

IV. Provider business mailing address

308 STERLING ST APT 2C
BROOKLYN NY
11225-4236
US

V. Phone/Fax

Practice location:
  • Phone: 631-639-6202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number157785
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: