Individual
LAURA ANNE HENNIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
897 BIRCHWOOD LN, NISKAYUNA, NY 12309-3111
(518) 344-2910
Mailing address
25 CAMBRIDGE AVE, CLIFTON PARK, NY 12065-6145
(518) 344-2910
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
499073
NY
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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