Individual
KATHLEEN ANN TANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
230 N GENESEE ST, UTICA, NY 13502-2529
(315) 275-3214
(315) 275-3215
Mailing address
183 FENTON RD, WEST WINFIELD, NY 13491-4110
(315) 263-5984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F331634
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F331634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354485
—
NY
Enumeration date
10/02/2006
Last updated
10/16/2020
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