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Eloise Miekle Gordon-mallett, RN,FNP
Licensed Practical Nurse in New York, New York
NPI 1053757344

Eloise Miekle Gordon-mallett is a Licensed Practical Nurse based in New York, NY. 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. You can also correspond with Eloise Miekle Gordon-mallett through the mailing address at 1000 10TH AVE, NEW YORK, NY - 10019-1147 (mailing address contact number: 212-636-3443).

Location: 1000 10Th Ave, New York, NY, 10019-1147
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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, 10019-1147
Phone Number
212-636-3443
Fax Number
212-523-8189
Provider Enumeration Date
05/14/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
440265 01 NY NEW YORK STATE REGISTERED PROFESSIONAL NURSE
F337206 01 NY NEW YORK STATE NURSE PRACTITIONER LICENSE
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.
F337206 (New York)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
440265 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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