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Eloise Miekle Gordon-mallett, RN,FNP
Critical Care Medicine Registered Nurse in New York, New York
NPI 1053757344

Eloise Miekle Gordon-mallett is a Critical Care Medicine Registered Nurse based in Englewood, NY and is specialized in Critical Care Medicine. Eloise Miekle Gordon-mallett practices in New York, NY and has the professional credentials of RN,FNP. The NPI Number for Eloise Miekle Gordon-mallett is 1053757344 and holds a License No. 440265 (New York).

The current practice location address for Eloise Miekle Gordon-mallett is 1000 10Th Ave, New York, NY and can be reached out via phone at 212-636-3443 and via fax at 212-523-8189.

Location: 1000 10Th Ave, New York, NY, 07631-1660
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Provider Profile Details
NPI Number
1053757344
Provider Name
Eloise Miekle Gordon-mallett
Credential
RN,FNP
Provider Entity Type
Individual
Gender
Female
Address
1000 10Th Ave, New York, NY, 07631-1660
Phone Number
212-636-3443
Fax Number
212-523-8189
Provider Enumeration Date
05/14/2013
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F337206 01 NY NEW YORK STATE NURSE PRACTITIONER LICENSE
440265 01 NY NEW YORK STATE REGISTERED PROFESSIONAL NURSE
institution
Provider Business Practice Location Address Details
Address
1000 10Th Ave
City
State
Zip
10019-1147
Phone Number
212-636-3443
Fax Number
212-523-8189
person
Provider Business Mailing Address Details
Address
1000 10Th Ave
City
State
Zip
10019-1147
Phone Number
212-636-3443
Fax Number
212-523-8189
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
License No.
440265 (New York)
Definition
Definition to come...
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