Individual
LUANN MARY THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
357 GENESEE ST STE 1, ONEIDA, NY 13421-2658
(315) 363-8862
(315) 363-3326
Mailing address
357 GENESEE ST STE 1, ONEIDA, NY 13421-2658
(315) 363-8862
(315) 363-3326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332301-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02509048
—
NY
Enumeration date
12/13/2005
Last updated
02/08/2018
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