Individual provider · Type 1 NPI
Ayuk B. Etang
Nurse Practitioner · Latham, NY
Practice location
1205 Troy Schenectady Rd Ste 100
Latham, NY 12110-1075
Mailing address
22 Park Ln S Apt 5
Menands, NY 12204-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R263000 (MD) |
| Nurse Practitioner Primary | 363L00000X | F347994-01 (NY) |
Nurse Practitioner: (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 wit…
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About NPI 1013679273
Ayuk B. Etang's National Provider Identifier is 1013679273, issued on Oct 6, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Latham, NY. The record was last updated on Aug 7, 2026.