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Individual

MS. MICHELLE MARY MARCHAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
401 NEW KARNER RD, ALBANY, NY 12205-3854
(518) 456-3614
(518) 456-3689
Mailing address
401 NEW KARNER RD, ALBANY, NY 12205-3854
(518) 456-3614
(518) 456-3689

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711346
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1496484
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403545-01
NY

Other

Enumeration date
10/07/2019
Last updated
12/06/2021
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