Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP 9188659 | FL |
Y | 363LA2200X | Nurse Practitioner - Adult Health | F310198-01 | NY |
NPI | 1023463148 |
---|---|
Provider Name | Catherine Ann Rondeau |
First Address | Wading River, NY 11792-1241 |
Second Address | Wading River, NY 11792-1241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2016 |
Last Update Date | 07/09/2021 |