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MS. RENEE JODELLE PRADDY NP NPI 1033707732


NPI Information

NPI: 1033707732
Provider Name: MS. RENEE JODELLE PRADDY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
22002 108TH AVE
QUEENS VILLAGE, NY
ZIP 11429
Phone: (718) 812-8494
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MS. Renee Jodelle Praddy, NP is a family nurse practitioner in Queens Village, NY. MS. Renee Jodelle Praddy, NP NPI is 1033707732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22002 108TH AVE
QUEENS VILLAGE, NY
ZIP 11429-437
Phone: (718) 812-8494

The enumeration date for this NPI number is 1/7/2021 and was last updated on 1/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily346030NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.