Individual
OCTAVIA LYNNE FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHD
Contact information
Practice address
600 FITCH ST STE 102, ELMIRA, NY 14905-1634
(607) 734-6544
(607) 734-6580
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421379
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05623143
—
NY
05
—
Q016313
—
TN
Enumeration date
12/02/2013
Last updated
11/24/2020
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