L'Estrange, Phyllis Ann

L'Estrange, Phyllis Ann is an individual health care provider with primary practice located at 95 Crystal Run Rd , Middletown NY 10941-7001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. L'Estrange, Phyllis Ann can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
95 Crystal Run Rd Middletown NY 10941-7001
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN.0997029-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 305697 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0997029-NP Colorado

Profile Details

NPI number 1164719464
LBN Legal business name L'Estrange, Phyllis Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated Oct 10th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1164719464 NPPES
New York MEDICAID 03357646

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