NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC NPI 1114147311

NPI Information

NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC is a family nurse practitioner in Watertown, NY. NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC NPI is 1114147311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19472 US ROUTE 11 STE N101
WATERTOWN, NY
ZIP 13601-387
Phone: (315) 786-1924
Fax: (315) 786-0823

The provider's authorized official is Catherine M O'brien .
The authorized official title is President and has the following contact phone number (315) 786-1924.

The CLIA number assigned to this NPI record is 33D1033011 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/27/2007 and was last updated on 9/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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