Individual
MRS. KATHRYN R STAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
310 EAST SHORE ROAD, SUITE #104, GREAT NECK, NY 11023
(516) 829-9550
(516) 829-9718
Mailing address
310 EAST SHORE ROAD, SUITE #104, GREAT NECK, NY 11023
(516) 829-9550
(516) 829-9718
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430847
NY
Other
Enumeration date
03/04/2015
Last updated
09/28/2023
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