Individual provider · Type 1 NPI
Elisa Jean Mary, NP
Nurse Practitioner · Elmhurst, NY
Practice location
87-08 Justice Ave Suite Cs
Elmhurst, NY 11373
Fax (718) 779-9579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 308410 (NY) |
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 1740779206
Elisa Jean Mary, NP's National Provider Identifier is 1740779206, issued on May 9, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elmhurst, NY. The record was last updated on May 9, 2018.