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Mrs. Christie Elizabeth Wanderer, NP
Family Nurse Practitioner in Stony Brook, New York
NPI 1972182566

Christie Elizabeth Wanderer is a Family Nurse Practitioner based in Babylon, NY and is specialized in Family. Christie Elizabeth Wanderer practices in Stony Brook, NY and has the professional credentials of NP. The NPI Number for Christie Elizabeth Wanderer is 1972182566 and holds a License No. 346430 (New York).

The current practice location address for Christie Elizabeth Wanderer is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-444-6000.

Location: 101 Nicolls Rd, Stony Brook, NY, 11702-4311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972182566
Provider Name
Christie Elizabeth Wanderer
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 11702-4311
Phone Number
631-444-6000
Fax Number
Provider Enumeration Date
04/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-6000
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
346430 (New York)
Definition
Definition to come...
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