Individual
NICOLE ANN SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8 BRENTWOOD DR, ITHACA, NY 14850-1871
(607) 277-4341
Mailing address
1111 PERUVILLE RD, GROTON, NY 13073-9721
(315) 750-0701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
342122
NY
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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