Individual
AGNES CHRISTINA EYTLE-ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
75 BROAD ST, SUITE 0815, NEW YORK, NY 10004-2415
(347) 761-3175
Mailing address
75 BROAD ST, SUITE 0815, NEW YORK, NY 10004-2415
(347) 761-3175
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
334537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
334537
LICENSE #
NY
Enumeration date
03/12/2013
Last updated
03/12/2013
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