Individual
AUDREY CHARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12 PETRA LN, ALBANY, NY 12205-4973
(518) 452-0445
(518) 452-3489
Mailing address
12 KATHERINE ST, GLENS FALLS, NY 12801-3839
(518) 798-5023
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270884
LPN LICENSE
NY
Enumeration date
03/22/2007
Last updated
07/08/2007
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