Doctor Name: | MS. CAROL D. NIGHTENGALE |
NPI Number: | 1215198064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 332798 |
Business Practice Address: | 29 Academy Street Afton School Afton, NY - 13730 |
Business Phone Number: | 6076398224 |
Business Fax Number: | 6076398257 |
Mailing Address: | 29 Academy St, Afton School AFTON |
State: | NY |
Postal Code: | 13730 |
Phone Number: | 3076398224 |
Fax Number: | 6076398257 |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 332798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |