Individual
AMNE INTISSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 483-5000
Mailing address
1064 OXFORD HILL RD, O FALLON, IL 62269-6825
(206) 579-7657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2023018697
MO
363L00000X
Nurse Practitioner
209027601
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
F432647-01
NY
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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