Individual
MRS. NANCY LEE BARRACLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3050 ROUTE 50, SARATOGA SPRINGS, NY 12866-2958
(518) 886-5112
(518) 693-4490
Mailing address
PO BOX 1368, ALBANY, NY 12201-1368
(518) 886-5112
(518) 693-4490
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305151-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03353091
—
NY
Enumeration date
11/13/2009
Last updated
12/29/2015
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