Individual
MS. MARY RANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-P
Contact information
Practice address
239 GOLDEN HILL LN, KINGSTON, NY 12401-6441
(845) 340-4000
(845) 340-4070
Mailing address
239 GOLDEN HILL LN, KINGSTON, NY 12401-6441
(845) 340-4000
(845) 340-4070
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400380-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02328325
—
NY
01
—
781483
MVP
NY
Enumeration date
05/25/2006
Last updated
01/09/2014
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