Individual
COURTNEY UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
555 WARREN RD, ITHACA, NY 14850-1862
(607) 257-1555
(607) 275-9702
Mailing address
555 WARREN RD, ITHACA, NY 14850-1862
(607) 257-1555
(607) 275-9702
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
827118
NY
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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