Individual
ALEXIS WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 SUNCREST DR # B, WATERFORD, NY 12188-1321
(518) 605-2179
Mailing address
3 SUNCREST DR # B, WATERFORD, NY 12188-1321
(518) 605-2179
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
763493-1
NY
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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