Individual
MS. BETH WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
0 WHITE BIRCH LANE, INDIAN LAKE, NY 12842-0250
(518) 648-6141
(518) 648-6143
Mailing address
0 WHITE BIRCH LANE, INDIAN LAKE, NY 12842-0250
(518) 648-6141
(518) 648-6143
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
410093-1
NY
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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