Individual
MRS. NANCY ANN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1955 FERNDALE RD, CASTLETON, NY 12033-9623
(518) 477-5900
(518) 477-5933
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
305306
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F305306-1
NY
Other
Enumeration date
01/25/2010
Last updated
05/24/2021
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