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Licenses
Nursing
New York
Johnstown
Best licensed Nursing in Johnstown, NY
ROBIN E ADAMS
License number
New York F331306
Address
700 SOUTH Perry St. Johnstown Pediatric Health Ctr, Northbush, NY 12095
Category
Nursing
Type
Family
REBECCA L AKERS
License number
Florida 3394512
Address
2
3 Pearl St, Northbush, NY 12095
43 New Scotland Ave, Albany, NY 12208
Category
Health Care
Issued Date
Jul 26, 1999
Effective Date
Oct 10, 2006
Expiration Date
Jul 31, 2004
Type
Registered Nurse
AKERS JEFFREY ALLEN
License number
New York 495499
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Nov 28, 1997
Type
REGISTERED PROFESSIONAL NURSING
AMSINGER DEBRA ANN
License number
New York 289572
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Aug 8, 2007
Type
LICENSED PRACTICAL NURSING
EGAN NANCY ANN
License number
New York 151615
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Jan 15, 1982
Type
LICENSED PRACTICAL NURSING
NEY CHRISTINE ANN
License number
New York 425396
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Sep 13, 1990
Type
REGISTERED PROFESSIONAL NURSING
ALEX S BALOGH
License number
New York 374935-1
Address
2
2372 State Highway 30A, Northbush, NY 12095
131 Prospect Ave Griffis Rd, Meco, NY 12078
Category
Nursing
Type
Registered Nurse
CINDY ELLEN BARTLETT
License number
New York 22-3235396
Address
2714 State Highway 29, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
HEATHER LYNN BAZAN
License number
New York 493790-1
Address
2755 State Highway 67, Northbush, NY 12095
Category
Nursing
Type
School
TAMMY J BILLA
License number
Florida 973821
Address
109 E Clinton St #2, Northbush, NY 12095
Category
Health Care
Issued Date
Apr 16, 1990
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 1997
Type
Licensed Practical Nurse
BEVERLY ARDETH BLOWERS
License number
New York 22-400457
Address
2
2714 State Highway 29, Northbush, NY 12095
160 W Stony Creek Rd, Sacandaga, NY 12134
Category
Nursing
Type
Registered Nurse
JEANNE F BLOWERS
License number
Florida 1161062
Address
11 N Melcher St, Northbush, NY 12095
Category
Health Care
Issued Date
May 26, 1980
Effective Date
Jan 1, 1901
Expiration Date
Apr 30, 1997
Type
Registered Nurse
MELISSA A BOWN
License number
New York F302577
Address
2
23 S Perry St, Northbush, NY 12095
PO Box 1250, Meco, NY 12078
Category
Nursing
Type
Adult Health
SHIRLEY A BURTMAN
License number
Florida 9331590
Address
2
308 N Perry St, Northbush, NY 12095
760 Waterfall Cir, Deltona, FL 32725
Category
Health Care
Issued Date
Sep 26, 2011
Effective Date
Jan 9, 2015
Expiration Date
Apr 30, 2019
Type
Registered Nurse
LAURA ANN CASERTA
License number
New York 337973
Address
2
434 SOUTH Kingsboro Ave, Northbush, NY 12095
PO Box 1250, Meco, NY 12078
Category
Nursing
Type
Family
WAITE CATHY
License number
New York 427271
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Sep 20, 1990
Type
REGISTERED PROFESSIONAL NURSING
CINDY CHRISTMAN
License number
New York 453941
Address
2714 State Highway 29, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
HUSAIN MARIA CORNELIA
License number
New York 104377
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Aug 26, 1974
Type
LICENSED PRACTICAL NURSING
JEANNINE M COX
License number
Florida 9419567
Address
5 Mason St, Northbush, NY 12095
Category
Health Care
Issued Date
Oct 16, 2015
Effective Date
May 16, 2017
Expiration Date
Apr 30, 2017
Type
Registered Nurse
DANITA CURTIS
License number
New York F333361
Address
2
110 Decker Dr SUITE 100, Northbush, NY 12095
PO Box 1250, Meco, NY 12078
Category
Nursing
Type
Family
RICKETTS ESTHER DAWN
License number
New York 534538
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Sep 3, 2002
Type
REGISTERED PROFESSIONAL NURSING
KITCHEN KIMBERLY D
License number
New York 127005
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Jan 20, 1978
Type
LICENSED PRACTICAL NURSING
KATHRYN R DOLAN
License number
New York F332436
Address
2
23 SOUTH Perry St, Northbush, NY 12095
PO Box 1250, Meco, NY 12078
Category
Nursing
Type
Family
DZIERSON BETH A
License number
New York 252573
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Nov 28, 1973
Type
REGISTERED PROFESSIONAL NURSING
CRIPPEN ANN E
License number
New York 036894
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Oct 26, 1950
Type
LICENSED PRACTICAL NURSING
REED JULIE EMM
License number
New York 052130
Address
Northbush, NY
Category
Nurse, Practical
Type
LICENSED PRACTICAL NURSING
FREEMAN JANIS EVE
License number
New York 336439
Address
Northbush, NY
Category
Nurse Practitioner - Family Health
Issued Date
Jul 19, 2010
Type
NURSE PRACTITIONER IN FAMILY HEALTH
TRACEY ANN FARQUHAR
License number
New York 210706-1
Address
20 Gilbert St, Northbush, NY 12095
Category
Nursing
Type
Licensed Practical Nurse
AUDREY F FOWLER
License number
New York 4239631
Address
2
2755 State Highway 67, Northbush, NY 12095
31 Highland Pl, Van Deusenville, NY 13317
Category
Nursing
Type
School
JILLIAN M FRAISER
License number
Florida 9280719
Address
2
545 Conway 106, Northbush, NY 12095
310 Redwood Ave UNIT B, Niceville, FL 32578
Category
Health Care
Issued Date
Jul 28, 2008
Effective Date
May 15, 2012
Expiration Date
Apr 30, 2010
Type
Registered Nurse
GAGE CAROL FRANK
License number
New York 140055
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Jan 14, 1958
Type
REGISTERED PROFESSIONAL NURSING
DENISE CECELIA FREDERICK
License number
New York 22-329062
Address
2714 State Highway 29, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
JANIS E FREEMAN
License number
Florida 9386949
Address
2
3969 State Highway 29, Northbush, NY 12095
2546 Balltown Rd, Schenectady, NY 12309
Category
Health Care
Issued Date
Jul 2, 2014
Effective Date
Apr 26, 2016
Expiration Date
Apr 30, 2018
Type
Registered Nurse
JANIS E FREEMAN
License number
New York F336439-1
Address
2
434 S Kingsboro Ave, Northbush, NY 12095
99 EAST State St, Meco, NY 12078
Category
Nursing
Type
Family
SANDRA LOUISE GEIER
License number
New York 551501
Address
2755 State Highway 67, Northbush, NY 12095
Category
Nursing
Type
School
GOTOBED-FRASIER KATHERINE ELIZABETH
License number
New York 300990
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Apr 26, 2010
Type
LICENSED PRACTICAL NURSING
JESSICA N HANNA
License number
Florida 9411967
Address
25 N Perry St APT 2, Northbush, NY 12095
Category
Health Care
Issued Date
Jul 2, 2015
Effective Date
May 15, 2017
Expiration Date
Apr 30, 2017
Type
Registered Nurse
MEREDITH JEAN HAYNER
License number
New York 307101-1
Address
275 Sweet Rd, Northbush, NY 12095
Category
Nursing
Type
Licensed Practical Nurse
DECKER ETHEL H
License number
New York 067126
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Jan 25, 1967
Type
LICENSED PRACTICAL NURSING
VAN DEUSEN HEIDI HARLOW
License number
New York 400586
Address
Northbush, NY
Category
Nurse Practitioner - Psychiatry
Issued Date
Aug 1, 2000
Type
NURSE PRACTITIONER IN PSYCHIATRY
HISERT TRACEY ANN
License number
New York 210706
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Dec 5, 1990
Type
LICENSED PRACTICAL NURSING
HLOZANSKY AUDREY
License number
New York 128367
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Apr 2, 1954
Type
REGISTERED PROFESSIONAL NURSING
AKEY HOPE
License number
New York 254651
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Jan 26, 1998
Type
LICENSED PRACTICAL NURSING
KAYLA L HOULE
License number
Florida 9402108
Address
PO Box 435, Northbush, NY 12095
Category
Health Care
Issued Date
Feb 23, 2015
Effective Date
Aug 2, 2016
Expiration Date
Jul 31, 2016
Type
Registered Nurse
ELLEN J HUNT
License number
New York 22-287146
Address
2714 State Highway 29, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
ROWE SONDRA I
License number
New York 281935
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
May 7, 1976
Type
REGISTERED PROFESSIONAL NURSING
JABLONSKI KATHLEEN A
License number
New York 376754
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
May 21, 1985
Type
REGISTERED PROFESSIONAL NURSING
SYKES DEBRA JEAN
License number
New York 278006
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Oct 20, 2004
Type
LICENSED PRACTICAL NURSING
MUZZI DOROTHY J
License number
New York 105584
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Jun 12, 1947
Type
REGISTERED PROFESSIONAL NURSING
DANIELA A KANE
License number
New York 310938-1
Address
2372 State Highway 30A, Northbush, NY 12095
Category
Nursing
Type
Licensed Practical Nurse
CUYLER KATHLEEN
License number
New York 281290
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
May 7, 1976
Type
REGISTERED PROFESSIONAL NURSING
OZGA ALEXANDRA KAY
License number
New York 323483
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Sep 14, 2015
Type
LICENSED PRACTICAL NURSING
DUROSS SUSAN K
License number
New York 337314
Address
Northbush, NY
Category
Nurse Practitioner - Family Health
Issued Date
Jun 8, 2012
Type
NURSE PRACTITIONER IN FAMILY HEALTH
MEGAN KILLEEN
License number
3
New York 017801
Address
2
434 S Kingsboro Ave SUITE 102, Northbush, NY 12095
5010 State Highway 30 SUITE 205, West Glenville, NY 12010
Category
Nursing
Type
Physician Assistant
CAROL A KING
License number
Florida 77794
Address
117 Washington St #2, Northbush, NY 12095
Category
Health Care
Issued Date
Feb 27, 2003
Effective Date
Aug 3, 2016
Expiration Date
May 31, 2018
Type
Certified Nursing Assistant
ALEXANDRIA MARIE KIRK
License number
New York 7331161
Address
465 N Perry St, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
MRAZ MARY K
License number
New York 311711
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Oct 20, 1978
Type
REGISTERED PROFESSIONAL NURSING
KATHLEEN ANN KRUG
License number
New York 22-287282
Address
2
2714 State Highway 29, Northbush, NY 12095
409 Hilltop Rd, Lykers, NY 12166
Category
Nursing
Type
Registered Nurse
KUEBAUGH ROSE G
License number
New York 130252
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Dec 3, 1954
Type
REGISTERED PROFESSIONAL NURSING
GINA LACHMAYER
License number
Connecticut 120900
Address
621 N Bush Rd, Northbush, NY 12095
Category
Registered Nurse
Issued Date
Aug 1, 2014
Expiration Date
Aug 31, 2017
DAVID TAMMIE L
License number
New York 263973
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Aug 23, 2000
Type
LICENSED PRACTICAL NURSING
NELLIE G LEITCH
License number
Florida 533561
Address
139 E State St, Northbush, NY 12095
Category
Health Care
Issued Date
Oct 22, 1979
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 1997
Type
Licensed Practical Nurse
RHODES JUDY L
License number
New York 300369
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Oct 21, 1977
Type
REGISTERED PROFESSIONAL NURSING
ROE ASHLIE L
License number
New York 326199
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Aug 9, 2016
Type
LICENSED PRACTICAL NURSING
SNYDER VICTORIA L
License number
New York 174600
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Jan 7, 1985
Type
LICENSED PRACTICAL NURSING
MAYE BRANDI LYNN
License number
New York 488289
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Mar 5, 1997
Type
REGISTERED PROFESSIONAL NURSING
MEHAN MELISSA LYNN
License number
New York 315999
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Sep 4, 2013
Type
LICENSED PRACTICAL NURSING
MOREY TAMMY LYNN
License number
New York 270216
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Sep 20, 2002
Type
LICENSED PRACTICAL NURSING
MACVEAN DEBORAH A
License number
New York 277511
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Oct 1, 1975
Type
REGISTERED PROFESSIONAL NURSING
JEANNE MARIE MARCUCCI
License number
New York 2324751
Address
2755 State Highway 67, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
PYZIK JEAN MARIE
License number
New York 387995
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Aug 22, 1986
Type
REGISTERED PROFESSIONAL NURSING
PAGE MARYANN
License number
New York 443791
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Sep 22, 1992
Type
REGISTERED PROFESSIONAL NURSING
DANIELLE MCDUFFEE
License number
New York 312658
Address
150 Webb Rd, Northbush, NY 12095
Category
Nursing
Type
Licensed Practical Nurse
UNTERWEGER MELISSA
License number
New York 319583
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Aug 21, 2014
Type
LICENSED PRACTICAL NURSING
TRISHA M MEMRICK
License number
New York 533478-1
Address
2755 Special Education, Northbush, NY 12095
Category
Nursing
Type
School
HOYER DARLENE M
License number
New York 259272
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Mar 12, 1999
Type
LICENSED PRACTICAL NURSING
HUXLEY JUDITH M
License number
New York 055729
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Jan 15, 1963
Type
LICENSED PRACTICAL NURSING
JEANETTE J M TINNEY
License number
New York 22-217611
Address
2
2714 State Highway 29, Northbush, NY 12095
PO Box 412, Mayfield, NY 12117
Category
Nursing
Type
Registered Nurse
MCALLISTER IMELDA M
License number
New York 212515
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Sep 23, 1969
Type
REGISTERED PROFESSIONAL NURSING
GOOT AUDREY MONIQUE
License number
New York 263880
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Aug 16, 2000
Type
LICENSED PRACTICAL NURSING
MRAZZ ADA MARIE
License number
New York 071609
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Jan 30, 1968
Type
LICENSED PRACTICAL NURSING
SAVAGE CATHIE NICOLE
License number
New York 518705
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Sep 29, 2000
Type
REGISTERED PROFESSIONAL NURSING
SAVAGE CATHIE NICOLE
License number
New York 237398
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Oct 26, 1994
Type
LICENSED PRACTICAL NURSING
OARE DEBORAH A
License number
New York 362860
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Nov 7, 1983
Type
REGISTERED PROFESSIONAL NURSING
EPPOLITO PATRICIA
License number
New York 331503
Address
Northbush, NY
Category
Nurse Practitioner - Family Health
Issued Date
Aug 7, 1996
Type
NURSE PRACTITIONER IN FAMILY HEALTH
GALEA PATRICIA
License number
New York 300577
Address
Northbush, NY
Category
Nurse Practitioner - All Specialties
Issued Date
Aug 21, 1990
Type
NURSE PRACTITIONER IN ADULT HEALTH
MICHELLE PAUL
License number
New York 500869
Address
2755 State Highway 67, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
PINEVIEW COMMONS, LLC
License number
New York 280-F-034
Address
201 S Melcher St, Northbush, NY 12095
Category
Nursing
Type
Adult Care Home
RICE VIRGINIA P
License number
New York 056307
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
May 29, 1930
Type
REGISTERED PROFESSIONAL NURSING
BELFANCE JOYCE RACE
License number
New York 331440
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Oct 17, 1980
Type
REGISTERED PROFESSIONAL NURSING
HADCOCK REBECCA
License number
New York 237392
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Oct 26, 1994
Type
LICENSED PRACTICAL NURSING
MELBER KELLY RILEY
License number
New York 168554
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Jan 23, 1984
Type
LICENSED PRACTICAL NURSING
NINAN SUSAN R
License number
New York 404110
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Mar 31, 1988
Type
REGISTERED PROFESSIONAL NURSING
GUSHUE ALICIA ROSE
License number
New York 294343
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Sep 8, 2008
Type
LICENSED PRACTICAL NURSING
HOJOHN HOLLIS ROSE
License number
New York 311015
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Aug 16, 2012
Type
LICENSED PRACTICAL NURSING
ROWBACK JOAN V
License number
New York 066623
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Nov 2, 1966
Type
LICENSED PRACTICAL NURSING
WAGER JEANNETTE R
License number
New York 062897
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Jan 15, 1975
Type
LICENSED PRACTICAL NURSING
RANDIE R SALMON
License number
New York F332395-1
Address
2
700 S Perry St Johnstown Health Ctr, Northbush, NY 12095
427 Guy Park Ave St. MARY'S HEALTHCARE, West Glenville, NY 12010
Category
Nursing
Type
Family
Dawn Marie Saltsman
License number
Colorado 105100
Address
2
160 Red Schoolhouse Rd, Northbush, NY 12095
Northbush, NY
Issued Date
Jun 1, 1994
Renew Date
Sep 30, 1997
Expiration Date
Sep 30, 1997
Type
Registered Nurse
CATHIE NICOLE SAVAGE
License number
New York 518705-1
Address
2755 State Highway 67, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
CLARA MAE SMITH
License number
New York 051605-1
Address
3462 State Highway 29, Northbush, NY 12095
Category
Nursing
Type
Licensed Practical Nurse
SUSAN ARLENE SPRAKER
License number
New York 22-417363
Address
2714 State Highway 29, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
Sarah M Stallone
License number
Colorado 187094
Address
799 S Melcher St, Northbush, NY 12095
Issued Date
Jul 24, 2008
Renew Date
Jul 24, 2008
Expiration Date
Sep 30, 2010
Type
Registered Nurse
JEFFERS LUCINDA SUSANNE
License number
New York 440243
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Apr 1, 1992
Type
REGISTERED PROFESSIONAL NURSING
SVOLOS BARBARA A
License number
New York 106996
Address
Northbush, NY
Category
Registered Professional Nurse
Type
REGISTERED PROFESSIONAL NURSING
AMANDA SWEET
License number
New York 694247
Address
465 N Perry St, Northbush, NY 12095
Category
Nursing
Type
Registered Nurse
BERNADETTE LOIS VAN WIE
License number
New York 417321-1
Address
465 N Perry St, Northbush, NY 12095
Category
Nursing
Type
Psychiatric/Mental Health, Adult
VANVOAST KATHLEEN A
License number
New York 103834
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Aug 26, 1974
Type
LICENSED PRACTICAL NURSING
VDOVIAK KARLY ELIZABETH
License number
New York 717132
Address
Northbush, NY
Category
Registered Professional Nurse
Issued Date
Jul 6, 2016
Type
REGISTERED PROFESSIONAL NURSING
HILLIER CATHERINE WASHINGTON
License number
New York 036208
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Sep 16, 1970
Type
LICENSED PRACTICAL NURSING
SALLY A WEBBER
License number
New York 456333-1
Address
2
465 N Perry St, Northbush, NY 12095
258 Warren Rd, Meco, NY 12078
Category
Nursing
Type
Registered Nurse
WELLS NURSING HOME, INC.
License number
New York 1702300N
Address
201 W Madison Ave, Northbush, NY 12095
Category
Nursing
Type
Skilled Nursing Facility
HONG WEN
License number
New York 669196-1
Address
2
2372 State Highway 30A, Northbush, NY 12095
2 Sharon Street Ct, Watervliet, NY 12189
Category
Nursing
Type
Registered Nurse
RICHARDS KAREN WHITE
License number
New York 182702
Address
Northbush, NY
Category
Nurse, Practical
Issued Date
Dec 19, 1985
Type
LICENSED PRACTICAL NURSING
WILLING HELPERS HOME FOR WOMEN INC.
License number
New York 280-E-008
Address
226 WEST Madison Ave., Northbush, NY 12095
Category
Nursing
Type
Assisted Living Facility
DALE SHIRLEY WOODS
License number
New York 22-285918
Address
2
2714 State Highway 29, Northbush, NY 12095
258 Seeley Rd, Stratford, NY 13470
Category
Nursing
Type
Registered Nurse
LISA C WOODWARD
License number
New York 605396-1
Address
2
2372 State Highway 30A, Northbush, NY 12095
778 Griffis Rd, Meco, NY 12078
Category
Nursing
Type
Registered Nurse
MAUREEN WROBLEWSKI
License number
New York F382666
Address
700 S Perry St Johnstown Pediatric Health Ctr, Northbush, NY 12095
Category
Nursing
Type
Pediatrics
WYLLIE ELLAMARY
License number
New York 360346
Address
Northbush, NY
Category
Nurse Practitioner - Obstetrics & Gynecology
Issued Date
Dec 27, 1995
Type
NURSE PRACTITIONER OBSTETRICS/GYNECOLOGY