Individual
ANN COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
HEALTH SCIENCES CENTER T11-080, STONY BROOK, NY 11794-0001
(631) 444-3429
(631) 444-6045
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02735082
—
NY
Enumeration date
10/18/2005
Last updated
04/21/2015
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