Individual
DELANA DURRELL SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5111
Mailing address
75 ETHEL ST, APT 2R, JOHNSON CITY, NY 13790-2935
(315) 867-4204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
632130
NY
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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