Individual
MRS. CARLA KAY HAUSRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
210 CORNELIA ST, SUITE 202, PLATTSBURGH, NY 12901-2318
(518) 563-6348
(518) 563-6378
Mailing address
210 CORNELIA ST, SUITE 202, PLATTSBURGH, NY 12901-2318
(518) 563-6348
(518) 563-6378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
5229711
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
305178
NY
Other
Enumeration date
07/14/2009
Last updated
07/16/2009
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