Individual
MS. ADRESSA H FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
113 HOLLAND AVE BLDG 67, ALBANY, NY 12208-3410
(800) 877-6976
Mailing address
113 HOLLAND AVE BLDG 67, ALBANY, NY 12208-3410
(800) 877-6976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004528
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000786889
ANTHEM BC/BS
KY
05
—
200495990
—
IN
01
—
3004528
LICENSE
KY
01
—
50042935
PASSPORT
KY
05
—
78017787
—
KY
Enumeration date
05/27/2006
Last updated
11/04/2025
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