Individual
LANDYN RAE SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 FAIRPORT NINE MILE POINT RD, PENFIELD, NY 14526-1903
(585) 758-0777
Mailing address
1835 FAIRPORT NINE MILE POINT RD, PENFIELD, NY 14526-1903
(585) 758-0777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
349058
NY
Other
Enumeration date
03/06/2022
Last updated
07/17/2023
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