Individual
MS. CEIRRA ROBIN TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4198
(607) 798-5000
Mailing address
212 LINCOLN AVE APT 5, ENDICOTT, NY 13760-5158
(607) 240-1475
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F346301-01
NY
Other
Enumeration date
10/14/2020
Last updated
05/07/2024
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