Individual
SHANNYN MACVICAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 FARMERS INN RD, HOOSICK FALLS, NY 12090-4112
(518) 530-7702
Mailing address
99 FARMERS INN RD, HOOSICK FALLS, NY 12090-4112
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
0110287
VT
163WH0200X
Home Health Registered Nurse
Primary
636835
NY
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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