Individual
KRISTEN MARIE MAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-6323
Mailing address
8209 YUKON DR, CICERO, NY 13039-9388
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382886
NY
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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