Fedelicio, Joanne San Juan

Fedelicio, Joanne San Juan is an sole proprietor health care provider with primary practice located at 376 Woodward Ave Apt 2L, Ridgewood NY 11385-1357. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Emergency. Nursing Service Providers / Registered Nurse is her primary health care specialty. Fedelicio, Joanne San Juan can be contacted via phone (347) 689-4420.

Contact Information

Primary practice address
376 Woodward Ave Apt 2L Ridgewood NY 11385-1357
Phone: (347) 689-4420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 558454 New York
Nursing Service Providers / Emergency 163WE0003X 558454 New York

Profile Details

NPI number 1932406444
LBN Legal business name Fedelicio, Joanne San Juan
Credentials MSN RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2011
Last updated Feb 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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