Praddy, Renee Jodelle

Praddy, Renee Jodelle is an sole proprietor health care provider with primary practice located at 22002 108Th Ave , Queens Village NY 11429-2437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Praddy, Renee Jodelle can be contacted via phone (718) 812-8494.

Contact Information

Primary practice address
22002 108Th Ave Queens Village NY 11429-2437
Phone: (718) 812-8494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 346030 New York

Profile Details

NPI number 1033707732
LBN Legal business name Praddy, Renee Jodelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2021
Last updated Jan 7th, 2021 - about 5 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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