Individual
ISABEL JENNIE KLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
11 WHEELER ST, AUBURN, NY 13021-2222
(315) 412-3484
Mailing address
11 WHEELER ST, AUBURN, NY 13021-2222
(315) 412-3484
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305776
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03375995
—
NY
Enumeration date
08/12/2011
Last updated
07/24/2016
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