Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malaisia Fenner

Individual provider Licensed Practical Nurse · NPI 1861334203

Malaisia Fenner is a Licensed Practical Nurse in Massapequa, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

37 Robert Ave
Massapequa, NY 11758-3631
Phone: (929) 329-7910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 348299 (NY)

Record details

NPI number1861334203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address37 Robert Ave, Massapequa, NY 11758-3631

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