Individual
KILLAUDA NGUYEN-CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
323 FAIRVIEW AVE, HUDSON, NY 12534-1211
(518) 965-3104
Mailing address
323 FAIRVIEW AVE, HUDSON, NY 12534-1211
(518) 965-3104
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306465-1
NY
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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