Individual
MRS. OURANIA WALRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
70 HATFIELD LN, SUITE 203, GOSHEN, NY 10924-6734
(845) 294-7700
(845) 294-5363
Mailing address
70 HATFIELD LN, SUITE 203, GOSHEN, NY 10924-6734
(845) 294-7700
(845) 294-5363
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3039041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03843872
—
NY
Enumeration date
03/29/2007
Last updated
10/12/2016
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