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Individual

MISS PATRICIA IRENE MUTTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP (NURSE PRACTI

Contact information

Practice address
260 SOUTH PEARL STREET, ALBANY, NY 12202-1809
(518) 447-4555
(518) 447-4661
Mailing address
4 ATRIUM DRIVE, SUITE 100, ALBANY, NY 12205-1441
(518) 374-0295
(518) 377-3729

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
288683-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400332-01
NY

Other

Enumeration date
07/31/2006
Last updated
08/20/2021
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