Individual provider · Type 1 NPI
Eneil Ryan De la Pena, ANP-BC, GNP
Adult Health Nurse Practitioner · New York, NY
NPI number
1245672187
Active
Practice location
161 Fort Washington Ave
New York, NY 10032-3729
Mailing address
630 W 168th St # 4
New York, NY 10032-3725
Other practice locations
- 81 Landscape Ave, Yonkers, NY 10705-3831 · (646) 298-6099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 340846 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 306096 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1245672187
Eneil Ryan De la Pena, ANP-BC, GNP's National Provider Identifier is 1245672187, issued on Jul 19, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Mar 17, 2018.