NPI 1013306455

Clementine Miller, ADULTNP

Practitioner Adult Health Nurse Practitioner Latham, NY

Practice location

Address: 1205 Troy Schenectady Rd STE 101, Latham, NY 12110-1074
Phone: (518) 348-3176
Mailing address: 3217 Phillip St, Schenectady, NY 12306-1420

Registered specialties

Adult Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 307173 (NY)

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Registry record

NPI: 1013306455
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2015
Record last updated: 24 Oct 2019

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.