NPI 1003325630

Michele Rene McDonald, NP

Practitioner Nurse Practitioner Syracuse, NY

Practice location

Address: 800 Irving Ave, Syracuse, NY 13210-2716
Phone: (315) 425-4400
Mailing address: 4897 Vinegar Hill Rd, Elbridge, NY 13060-9780

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 341811 (NY)

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Registry record

NPI: 1003325630
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2017
Record last updated: 27 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.