Individual
GEORGINA H MCNIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3750 S MEADOW DR, JACKSON, WY 83001-9429
(914) 439-3811
Mailing address
3750 S MEADOW DR, JACKSON, WY 83001-9429
(914) 439-3811
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
46471
WY
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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