Provider Demographics
NPI:1639410368
Name:PANES, ELENOR (RN ANP)
Entity Type:Individual
Prefix:
First Name:ELENOR
Middle Name:
Last Name:PANES
Suffix:
Gender:F
Credentials:RN ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 BRADHURST AVE APT 6U
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-3316
Mailing Address - Country:US
Mailing Address - Phone:212-690-0785
Mailing Address - Fax:
Practice Address - Street 1:68 BRADHURST AVE APT 6U
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-3316
Practice Address - Country:US
Practice Address - Phone:212-690-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF430217R363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care