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Individual

GLORIA JEANE TATSAPAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3174 ROUTE 22, HUDSON RIVER HEALTHCARE, INC., DOVER PLAINS, NY 12522-5924
(845) 877-4793
(845) 877-9212
Mailing address
1037 MAIN ST, CREDENTIALING DEPT., PEEKSKILL, NY 10566-2913
(914) 734-8858
(914) 734-8786

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302509
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00473038
NY
05
02328870
NY
Enumeration date
09/29/2006
Last updated
01/19/2012
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