Individual
MRS. MICHELE CHRISTINE COURNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1270 BELMONT AVE, SCHENECTADY, NY 12308-2104
(518) 386-3512
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
301861
NY
363LA2200X
Adult Health Nurse Practitioner
F301861
NY
364SR0400X
Rehabilitation Clinical Nurse Specialist
416257
NY
Other
Enumeration date
06/16/2005
Last updated
05/13/2021
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