Wise Woman Ob/gyn, Pc

NPI 1649221367 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1649221367
Enumeration Date 05/15/2006
Last Updated 05/06/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NANCI L. NANCI
Position PRESIDENT
Phone (315) 782-6262
Fax (315) 782-5181
Practice Location
172 CLINTON ST
WATERTOWN NY, 13601-3602, US
Phone (315) 782-6262
Fax (315) 782-5181
Business Location
1001 W FAYETTE ST
STE 400
SYRACUSE NY, 13204-2859, US
Phone (315) 472-1488
Fax (315) 476-1792
Toxanomy
Taxonomy Code 363LW0102X
License State
License Number
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According to our database, Wise Woman Ob/gyn, Pc NPI is 1649221367, taxonomy code is 363LW0102X Wise Woman Ob/gyn, Pc physically located at 172 Clinton St, Watertown NY, 13601-3602. NPI Number 1033115704 has the healthcare provider type.

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1649221367 NPI number is provided on an as is basis without warranty of any kind. 1649221367 is maintained by the National Plan & Provider Enumeration System. The contents of Wise Woman Ob/gyn, Pc are for informational purposes only.