Individual provider · Type 1 NPI
Judith Leach Chagnon, NP
Adult Health Nurse Practitioner · Potsdam, NY
NPI number
1215060983
Active
Practice location
Student Health Ctr, Clarkson University
Potsdam, NY 13699-0001
Mailing address
17 Woodland Dr
Massena, NY 13662-3451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F300006-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1215060983
Judith Leach Chagnon, NP's National Provider Identifier is 1215060983, issued on Mar 13, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Potsdam, NY. The record was last updated on Jul 8, 2007.