Provider Demographics
NPI:1477949022
Name:DUPLESSY, NANCY CANDIO (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:CANDIO
Last Name:DUPLESSY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11734 240TH ST
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4016
Mailing Address - Country:US
Mailing Address - Phone:516-360-4327
Mailing Address - Fax:
Practice Address - Street 1:11734 240TH ST
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4016
Practice Address - Country:US
Practice Address - Phone:516-360-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY698239-1163W00000X
NYF345330-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0000OtherN/A