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Individual
KRISTEN MARIE SIRACUSE
Active
Individual
KRISTEN MARIE SIRACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338541-1
NY
364SF0001X
Family Health Clinical Nurse Specialist
F3385411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04007530
—
NY
Enumeration date
07/18/2014
Last updated
05/05/2015
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