Individual
KATHERINE TANNER CULTRARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1240 NEW SCOTLAND RD, SUITE 100, SLINGERLANDS, NY 12159-9222
(518) 475-7000
(518) 474-7050
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01878477
—
NY
Enumeration date
05/25/2006
Last updated
05/10/2021
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