Individual
ALTHEA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1 PASCACK AVE, NANUET, NY 10954-5931
(845) 356-1643
Mailing address
1 PASCACK AVE, NANUET, NY 10954-5931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000000
NY
Other
Enumeration date
02/04/2009
Last updated
02/06/2014
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