Individual
AUDRIEANNA ELEASE RACITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 BUSINESS PARK DR, UTICA, NY 13502-6302
(315) 624-7000
(315) 793-1129
Mailing address
110 BUSINESS PARK DR, UTICA, NY 13502-6302
(315) 624-7000
(315) 793-1129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33338830
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03946710
—
NY
Enumeration date
07/13/2014
Last updated
10/28/2015
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