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LAQUAN SUPERVILLE
Family Nurse Practitioner
NPI: 1811682842IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
350969(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 335 LENOX AVE
NEW YORK, NY 10027 - Phone
- (718) 450-4907
Quick Facts
- NPI
- 1811682842
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 4
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