Individual
AIMEE ISABELLE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
433 RIVER ST STE 3000, TROY, NY 12180-2250
(518) 279-5700
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
303911
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
303911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02662417
—
NY
Enumeration date
03/31/2006
Last updated
05/11/2021
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