Individual
MRS. KAITLYN LOUISE BLOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
6 EXECUTIVE PARK DR, ALBANY, NY 12203-3791
(518) 641-6319
(518) 641-6850
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383609
NY
Other
Enumeration date
10/14/2024
Last updated
11/25/2024
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