Individual
BETH SURPRENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 324-3520
Mailing address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 324-3520
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
659215
NY
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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