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Individual

MRS. ANNE JEANNETTE NANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PNP, FPMHNP

Contact information

Practice address
215 WASHINGTON ST STE 221, WATERTOWN, NY 13601-3333
(315) 788-0105
(315) 788-0939
Mailing address
215 WASHINGTON ST STE 221, WATERTOWN, NY 13601-3333
(315) 788-0105
(315) 788-0939

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
544753-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401614
NY

Other

Enumeration date
05/01/2007
Last updated
10/06/2016
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