Individual
ANGEL LARISSA ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
63 TANGLEWOOD DR, SOUTH GLENS FALLS, NY 12803-5432
(813) 482-8957
Mailing address
63 TANGLEWOOD DR, SOUTH GLENS FALLS, NY 12803-5432
(813) 482-8957
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
9285831
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
F430851-1
NY
Other
Enumeration date
07/03/2013
Last updated
11/24/2014
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