Individual provider · Type 1 NPI

Lacey D. Providence, REGISTERED NURSE

School Registered Nurse · Brooklyn, NY

NPI number 1538948856 Active

Practice location

520 E 91st St Fl 2
Brooklyn, NY 11236-1021

Call (347) 232-4288 Map

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X82954601 (NY)

School Registered Nurse: Definition to come...

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About NPI 1538948856

Lacey D. Providence, REGISTERED NURSE's National Provider Identifier is 1538948856, issued on Sep 26, 2023. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 26, 2023.