Doctor Name: | MRS. JOAN V AUTHENRIETH |
NPI Number: | 1285942516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 224486-1 |
Business Practice Address: | 310 Washington Avenue Ext Saugerties, NY - 124775222 |
Business Phone Number: | 8452476926 |
Business Fax Number: | 8452464103 |
Mailing Address: | 310 Washington Avenue Ext, SAUGERTIES |
State: | NY |
Postal Code: | 124775222 |
Phone Number: | 8452476926 |
Fax Number: | 8452464103 |
NPI Enumeration Date: | 09/21/2010 |
NPI Last Update Date: | 09/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 224486-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |