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Lacey M Weller, NP
Nurse Practitioner in Charlton, New York
NPI 1275973638

Lacey M Weller is a Nurse Practitioner based in Latham, NY. Lacey M Weller practices in Charlton, NY and has the professional credentials of NP. The NPI Number for Lacey M Weller is 1275973638 and holds a License No. 338016 (New York).

The current practice location address for Lacey M Weller is 286 Stage Rd, Charlton, NY and can be reached out via phone at 518-399-2101 and via fax at 518-399-2130.

Location: 286 Stage Rd, Charlton, NY, 12110-2461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275973638
Provider Name
Lacey M Weller
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
286 Stage Rd, Charlton, NY, 12110-2461
Phone Number
518-399-2101
Fax Number
518-399-2130
Provider Enumeration Date
07/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130920000077 01 NY FIDELIS CARE NY
03605323 05 NY
institution
Provider Business Practice Location Address Details
Address
286 Stage Rd
City
Charlton
State
New York
Zip
12019-2618
Phone Number
518-399-2101
Fax Number
518-399-2130
person
Provider Business Mailing Address Details
Address
286 Stage Rd
City
Charlton
State
New York
Zip
12019-2618
Phone Number
518-399-2101
Fax Number
518-399-2130
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
338016 (New York)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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