Anne Maudeline Destine
Individual provider Active NPI Licensed Practical Nurse · Brooklyn, NY
NPI 1104783380 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1104783380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 339848 (NY)
- Practice address
- 1115 Avenue U
Brooklyn, NY 11223-5019 - Phone
- (718) 717-8337
- NPI assigned
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Lining Homecare Agency, Inc. | Past |
Accepting new patients | |
| Silver Lining Homecare Agency, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse |
164W00000X | 339848 | NY | Yes |
Addresses
Primary practice location
1115 Avenue U
Brooklyn, NY 11223-5019
Mailing address
1115 Avenue U
Brooklyn, NY 11223-5019
Phone (718) 717-8337
Other providers in Brooklyn, NY
- William Destefano
- Dina Destin
- Lovely Destin
- Shellon Destin
- Betide Destina
- Esther Destine
- Mongle Destine
- Roobie Destine
- Destined Horizons Mental Health Practice Professional Corporation
- Ditzia E Desuze
All providers in Brooklyn, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.