LOUISA MAE FENNELL

MERRICK, NY
NPI1881895563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F332930-1)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
-- LOUISA MAE FENNELL
1695 MERRICK AVE
MERRICK, NY 11566-1628
Phone number: 516-867-2568
Mailing Address
-- LOUISA MAE FENNELL
1695 MERRICK AVE
MERRICK, NY 11566-1628
Phone number: 516-867-2568