Individual
MICHELLE MARIE PUTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 FORD ST, OGDENSBURG, NY 13669-1419
(315) 394-0101
Mailing address
327 RIVER RD, WADDINGTON, NY 13694-4102
(315) 394-0101
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
491431
NY
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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