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Individual
KATHERINE ROSE HALLECK
Active
Individual
KATHERINE ROSE HALLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
346108
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F07200068
AMERICAN ACADEMY OF NURSE PRACTITIONERS
NY
Enumeration date
07/13/2020
Last updated
07/13/2020
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