Individual
HANNAH GOLDWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6511 SPRING BROOK AVE STE 102, RHINEBECK, NY 12572-3709
(845) 876-3003
Mailing address
157 SMITH AVE, KINGSTON, NY 12401-3615
(917) 439-3854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
352714
NY
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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