Individual
STEPHANIE LAUREN MEISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
201 DATES DR STE 301, ITHACA, NY 14850-1345
(607) 274-4011
Mailing address
201 DATES DR STE 301, ITHACA, NY 14850-1345
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431337
NY
Other
Enumeration date
07/19/2018
Last updated
07/03/2023
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