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

Paulette Phanord, REGISTEREDNURSE

Individual provider Licensed Practical Nurse · NPI 1396007761

Paulette Phanord, REGISTEREDNURSE is a Licensed Practical Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
2

Practice location Address checks out

2054 Tillotson Ave
Bronx, NY 10475-1560
Phone: (718) 671-2100
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 731278-01 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 298359 (NY)

Record details

NPI number1396007761
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedJune 12, 2012
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

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