Individual provider · Type 1 NPI

Joan L. Nathan, A.N.P.

Adult Health Nurse Practitioner · Port Jefferson, NY

NPI number 1053438952 Active

Practice location

120 N Country Rd
Port Jefferson, NY 11777-2604

Mailing address

2200 Race Ave
Medford, NY 11763-1818

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X302124 (NY)

Adult Health Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1053438952

Joan L. Nathan, A.N.P.'s National Provider Identifier is 1053438952, issued on Mar 23, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.