Doctor Name: | KATHLEEN NASNER |
NPI Number: | 1083083687 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 412447-1 |
Business Practice Address: | 29 School Lane Willsboro, NY - 129960180 |
Business Phone Number: | 5189634456 |
Business Fax Number: | 5189637577 |
Mailing Address: | 29 School Lane, WILLSBORO |
State: | NY |
Postal Code: | 129960180 |
Phone Number: | 5189634456 |
Fax Number: | 5189637577 |
NPI Enumeration Date: | 09/24/2015 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 412447-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |