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Individual

KERRY ELIZABETH MILLEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.N.P.

Contact information

Practice address
250 DELAWARE AVE, SUITE 100, DELMAR, NY 12054-1401
(518) 439-8077
(518) 438-8070
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306479-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03688415
NY
Enumeration date
06/11/2013
Last updated
02/05/2015
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