Individual
MRS. ERICA LYNN IVERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
113 LAFAYETTE AVE, GENEVA, NY 14456-1610
(315) 878-2883
Mailing address
113 LAFAYETTE AVE, GENEVA, NY 14456-1610
(315) 878-2883
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
538624
NY
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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