Individual
ELIZABETH MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1001 WEST ST, CARTHAGE, NY 13619-9776
(315) 493-1000
Mailing address
36665 STATE ROUTE 3, CARTHAGE, NY 13619-3337
(989) 415-3967
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
814890-01
NY
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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