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Organization
NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC
Active
Organization
NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE M O'BRIEN FNP (PRESIDENT)
(315) 786-1924
Entity
Organization
Contact information
Practice address
19472 US ROUTE 11 STE N101, WATERTOWN, NY 13601-5387
(315) 786-1924
(315) 786-0823
Mailing address
19472 US ROUTE 11 STE N101, WATERTOWN, NY 13601-5387
(315) 786-1924
(315) 786-0823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBCC
—
NY
Enumeration date
04/27/2007
Last updated
09/30/2020
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