Individual
MS. ELIZABETH JAMIESON TAETSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCASCA
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7680
Mailing address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7680
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
280351-1
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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