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Qi Si Xue, NURSEPRACTITIONER
Family Nurse Practitioner in Malone, New York
NPI 1811537608

Qi Si Xue is a Family Nurse Practitioner based in Pierrefonds, NY and is specialized in Family. Qi Si Xue practices in Malone, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Qi Si Xue is 1811537608 and holds a License No. 345359 (New York).

The current practice location address for Qi Si Xue is 133 Park St, Malone, NY and can be reached out via phone at 151-848-3300.

Location: 133 Park St, Malone, NY, H9J 3-N1
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811537608
Provider Name
Qi Si Xue
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
133 Park St, Malone, NY, H9J 3-N1
Phone Number
151-848-3300
Fax Number
Provider Enumeration Date
01/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
345359 01 NY NEW YORK STATE EDUCATION DEPARTMENT
institution
Provider Business Practice Location Address Details
Address
133 Park St
City
Malone
State
New York
Zip
12953-1244
Phone Number
151-848-3300
Fax Number
person
Provider Business Mailing Address Details
Address
133 Park St
City
Malone
State
New York
Zip
12953-1244
Phone Number
151-848-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
345359 (New York)
Definition
Definition to come...
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