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Petagay P. Fairclough
Family Nurse Practitioner in Poughkeepsie, New York
NPI 1710675566

Petagay P. Fairclough is a Family Nurse Practitioner based in Poughkeepsie, NY and is specialized in Family. Petagay P. Fairclough practices in Poughkeepsie, NY. The NPI Number for Petagay P. Fairclough is 1710675566 and holds a License No. F351722-01 (New York).

The current practice location address for Petagay P. Fairclough is 45 Reade Pl, Poughkeepsie, NY and can be reached out via phone at 845-454-8500.

Location: 45 Reade Pl, Poughkeepsie, NY, 12601-2728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710675566
Provider Name
Petagay P. Fairclough
Credential
Provider Entity Type
Individual
Gender
Female
Address
45 Reade Pl, Poughkeepsie, NY, 12601-2728
Phone Number
845-454-8500
Fax Number
Provider Enumeration Date
04/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
45 Reade Pl
City
Poughkeepsie
State
New York
Zip
12601-3947
Phone Number
845-454-8500
Fax Number
person
Provider Business Mailing Address Details
Address
45 Reade Pl
City
Poughkeepsie
State
New York
Zip
12601-3947
Phone Number
845-454-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F351722-01 (New York)
Definition
Definition to come...
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