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Brenda Lepage, NURSEPRACTITIONER
Family Nurse Practitioner in Malone, New York
NPI 1790799898

Brenda Lepage is a Family Nurse Practitioner based in North Bangor, NY and is specialized in Family. Brenda Lepage practices in Malone, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Brenda Lepage is 1790799898 and holds a License No. 334946 (New York).

The current practice location address for Brenda Lepage is 133 Park St, Malone, NY and can be reached out via phone at 518-856-0044 and via fax at 518-856-0088.

Location: 133 Park St, Malone, NY, 12966-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790799898
Provider Name
Brenda Lepage
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
133 Park St, Malone, NY, 12966-2323
Phone Number
518-856-0044
Fax Number
518-856-0088
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RB1158 01 NY ALICE HYDE MEDICAL CENTER
institution
Provider Business Practice Location Address Details
Address
133 Park St
City
Malone
State
New York
Zip
12953-1220
Phone Number
518-856-0044
Fax Number
518-856-0088
person
Provider Business Mailing Address Details
Address
133 Park St
City
Malone
State
New York
Zip
12953-1220
Phone Number
518-856-0044
Fax Number
518-856-0088
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
334946 (New York)
Definition
Definition to come...
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