Individual
ELIZABETH ANNE NARDACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
63 SHAKER ROAD, SUITE 201, ALBANY, NY 12204
(518) 471-3636
(518) 471-3668
Mailing address
PO BOX 14890, SPHP PAYER CREDENTIALING, ALBANY, NY 12212
(518) 591-1121
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
331792-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01927417
—
NY
Enumeration date
10/21/2005
Last updated
05/19/2021
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