Individual
MRS. TEERERAI PRECIOUS MUTYAVAIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
175 CENTRAL AVE, ALBANY, NY 12206-2937
(518) 436-4462
(518) 436-4558
Mailing address
175 CENTRAL AVE, ALBANY, NY 12206-2937
(518) 436-4462
(518) 436-4558
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5015962
NC
Other
Enumeration date
03/30/2010
Last updated
12/14/2023
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