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NPI Code Detail

MEDICARE: PELLIANN MAPP

MEDICARE:   PELLIANN  MAPP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse271150NY

General Provider Information

NPI Number : 1669827259
Entity Type Code : Individual
Provider Name (Legal Business Name) : PELLIANN MAPP
Provider Business Mailing Address
First Line : 786 MILLER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-7406
Country : US
Telephone Number : 347-792-5044
Fax Number :
Provider Business Practice Location Address
First Line : 786 MILLER AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-7406
Country : US
Telephone Number : 347-792-5044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2016
Last Update Date : 05/02/2016

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Directions to “ PELLIANN MAPP ” Practice Location

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