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Individual

MRS. AMANDA B TENHULZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Mailing address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304140
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02659483
NY
Enumeration date
07/12/2005
Last updated
08/30/2012
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