Organization Name: | FAMILY CARE NURSE PRACTITIONER, P.C. |
NPI Number: | 1265487045 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE NUGENT (FNP/OWNER) |
Mailing Address: | 123 Saratoga Rd Scotia |
State: | NY US |
Postal Code: | 123024181 |
Phone Number: | 5183990200 |
Fax Number: | 5183994517 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F331148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |