Individual
MS. KATHRYN ELLEN ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
3700 OLD VESTAL RD, VESTAL, NY 13850-2229
(607) 221-2745
Mailing address
385 INGRAHAM HILL RD, BINGHAMTON, NY 13903-5513
(607) 621-0313
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340744-1
NY
Other
Enumeration date
08/22/2009
Last updated
08/22/2009
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