Individual
ANDREA PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 CANTIGNEY ST, CORNING, NY 14830-2018
(607) 654-2988
Mailing address
165 CHARLES ST, PAINTED POST, NY 14870-1100
(607) 936-3704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
754152-01
NY
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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