Individual
HEATHER M. ST. AMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5015 CAMPUSWOOD DR, EAST SYRACUSE, NY 13057-4232
(315) 204-0397
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700486065
—
NY
Enumeration date
10/27/2020
Last updated
09/09/2024
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