Individual
LINDA MACQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 J.B. WISE PLAZA, WATERTOWN, NY 13601
(315) 782-7445
(315) 779-1184
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 779-5060
(315) 779-5028
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401482
NY
Other
Enumeration date
10/08/2012
Last updated
09/15/2020
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