Provider Demographics
NPI:1346858552
Name:DURAN, LADY JUNE (RN)
Entity type:Individual
Prefix:
First Name:LADY JUNE
Middle Name:
Last Name:DURAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LADY JUNE
Other - Middle Name:
Other - Last Name:KASTEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:123 E 110TH ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-4461
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:123 E 110TH ST APT 5B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-4461
Practice Address - Country:US
Practice Address - Phone:347-825-9288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY666157163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse