Individual
LYNNE M VANWORMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-4300
(518) 262-4736
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-4300
(518) 262-4736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200505
NY
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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