Individual
ERIN KATHRYN STUDENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065-2807
(518) 373-4444
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
344818
NY
363LF0000X
Family Nurse Practitioner
Primary
344818
NY
Other
Enumeration date
08/13/2019
Last updated
08/21/2019
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