Individual
STEPHANNIE LYNN FURTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
30 COLUMBIA ST, POUGHKEEPSIE, NY 12601-3906
(845) 231-5600
Mailing address
30 COLUMBIA ST, POUGHKEEPSIE, NY 12601-3906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95201641
CA
363LW0102X
Women's Health Nurse Practitioner
95018637
CA
367A00000X
Advanced Practice Midwife
Primary
002107
NY
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
09/28/2021
Last updated
04/17/2024
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