Individual
CHEYENNE ALICIA SERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
53 COLUMBIA ST, RENSSELAER, NY 12144-2933
(518) 434-2526
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
750221
NY
363LF0000X
Family Nurse Practitioner
Primary
352301
NY
Other
Enumeration date
07/01/2021
Last updated
07/10/2023
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