person
Elisabeth Supp, FNP-BC
Family Nurse Practitioner in New York, New York
NPI 1023775798

Elisabeth Supp is a Family Nurse Practitioner based in New York, NY and is specialized in Family. Elisabeth Supp practices in New York, NY and has the professional credentials of FNP-BC. The NPI Number for Elisabeth Supp is 1023775798 and holds a License No. 347779 (New York).

The current practice location address for Elisabeth Supp is 335 Malcolm X Blvd, New York, NY and can be reached out via phone at 646-585-1515.

Location: 335 Malcolm X Blvd, New York, NY, 10032-3909
person
Provider Profile Details
NPI Number
1023775798
Provider Name
Elisabeth Supp
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
335 Malcolm X Blvd, New York, NY, 10032-3909
Phone Number
646-585-1515
Fax Number
Provider Enumeration Date
11/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
335 Malcolm X Blvd
City
State
Zip
10027-3703
Phone Number
646-585-1515
Fax Number
person
Provider Business Mailing Address Details
Address
335 Malcolm X Blvd
City
State
Zip
10027-3703
Phone Number
646-585-1515
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
347779 (New York)
Definition
Definition to come...
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