Individual provider · Type 1 NPI

Brenda Jean Pontillo, NP

Nurse Practitioner · New York, NY

NPI number 1699809541 Active

Practice location

21 Audubon Ave
New York, NY 10032-2275

Mailing address

251 Fort Washington Ave Apt 46
New York, NY 10032-1248

Other practice locations

  • 26 Court St Ste 816, Brooklyn, NY 11242-1108 · (347) 987-4233

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704188594 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699809541

Brenda Jean Pontillo, NP's National Provider Identifier is 1699809541, issued on Mar 15, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Jun 10, 2024.