Individual
TAMARA LYNN DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4823
Mailing address
791 SUNSET DR, ELMIRA, NY 14905-5106
(607) 398-4527
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
637042
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
637042-01
NY
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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