Individual
MS. AUTUMN COURTNEY VANETTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9733 MAIN STREET, REMSEN, NY 13438
(315) 831-3797
(315) 831-2172
Mailing address
2808 FERNDALE PL, UTICA, NY 13501-6524
(315) 831-3797
(315) 837-2172
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
718340
NY
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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