Individual
BETTY M NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 BRIDGES AVE, MASSENA, NY 13662-1828
(315) 769-8889
Mailing address
58 BRIDGES AVE, MASSENA, NY 13662-1828
(315) 769-8889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4509551
NY
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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