Individual
MS. MARIA STIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-6555
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-6555
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402666
NY
Other
Enumeration date
06/26/2019
Last updated
11/04/2020
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