Individual provider · Type 1 NPI
Kathryn Ellen Ericksen, GNP
Gerontology Nurse Practitioner · Vestal, NY
NPI number
1023240116
Active
Practice location
3700 Old Vestal Rd
Vestal, NY 13850-2229
Mailing address
385 Ingraham Hill Rd
Binghamton, NY 13903-5513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 340744-1 (NY) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
Other gerontology nurse practitioner providers in Vestal
About NPI 1023240116
Kathryn Ellen Ericksen, GNP's National Provider Identifier is 1023240116, issued on Aug 22, 2009. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Vestal, NY. The record was last updated on Aug 22, 2009.