Individual provider · Type 1 NPI

Elizabeth Catherine Medina, FNP-BC MSN RN

Family Nurse Practitioner · Elmont, NY

NPI number 1386289007 Active

Practice location

1797 Dutch Broadway, Clinic #2061
Elmont, NY 11003-4243

Mailing address

1797 Dutch Broadway # 2061
Elmont, NY 11003-4243

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X679425 (NY)
Family Nurse Practitioner Primary 363LF0000XF346807-01 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1386289007

Elizabeth Catherine Medina, FNP-BC MSN RN's National Provider Identifier is 1386289007, issued on Nov 18, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elmont, NY. The record was last updated on Dec 6, 2021.