Provider Demographics
NPI:1013165943
Name:DURAN, JOANA (DNP)
Entity type:Individual
Prefix:DR
First Name:JOANA
Middle Name:
Last Name:DURAN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7765
Mailing Address - Country:US
Mailing Address - Phone:929-273-0177
Mailing Address - Fax:929-447-1160
Practice Address - Street 1:110 E 25TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2913
Practice Address - Country:US
Practice Address - Phone:929-273-0177
Practice Address - Fax:929-447-1160
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18461363L00000X, 363LP2300X
NY383082363L00000X
CA3077364S00000X, 364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics