Individual
CIERA RAE DENOVELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6 WELLNESS WAY STE 108, LATHAM, NY 12110-2142
(518) 370-7937
(518) 377-2983
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07899952
—
NY
Enumeration date
09/26/2023
Last updated
05/05/2026
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