Individual
MISS MAEGAN HUNEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
92 BROAD ST, GLENS FALLS, NY 12801-4383
(518) 480-4002
(518) 409-4916
Mailing address
92 BROAD ST, GLENS FALLS, NY 12801-4383
(518) 480-4002
(518) 409-4916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653751
NY
363L00000X
Nurse Practitioner
404980
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404980
NYS NP LISCENSE
NY
01
—
653751
NYS LISCENSE
NY
Enumeration date
06/15/2015
Last updated
06/01/2023
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