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Individual

MS. PAULA M CREHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
501 NEW KARNER RD, SUITE 1A, ALBANY, NY 12205-3882
(518) 452-1337
(517) 724-6660
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
331344
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000493818003
BSNENY
NY
05
01803814
NY
01
070425000034
FIDELIS
NY
01
113661
GHI HMO
NY
01
201113
SENIOR WHOLE HEALTH
NY
01
4151599
MVP
NY
Enumeration date
12/01/2006
Last updated
05/13/2021
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