Individual
MRS. JOANNE MARIE PRUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
165 CHARLES ST, PAINTED POST, NY 14870-1100
(607) 654-2782
(607) 654-2789
Mailing address
165 CHARLES ST, PAINTED POST, NY 14870-1100
(607) 654-2782
(607) 654-2789
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
338952-1
NY
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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