Individual
CHARISSA LYNN WELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
150 THORNBERRY LN, RENSSELAER, NY 12144-8448
(838) 218-5646
Mailing address
150 THORNBERRY LN, RENSSELAER, NY 12144-8448
(838) 218-5646
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327327-01
NY
Other
Enumeration date
11/08/2023
Last updated
11/14/2023
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