Provider Demographics
NPI:1518160761
Name:NAGEL, JOY LUTRICIA (NP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:LUTRICIA
Last Name:NAGEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WARREN ST APT A3G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-6083
Mailing Address - Country:US
Mailing Address - Phone:718-875-2502
Mailing Address - Fax:
Practice Address - Street 1:FIRST AVENUE AT 27TH STREET
Practice Address - Street 2:SUITE 10 SOUTH 1, BELLEVUE HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-562-2227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF430241-B363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care