Individual provider · Type 1 NPI

Christianne Supan

Nurse Practitioner · New York, NY

NPI number 1225448129 Active

Practice location

1275 York Ave
New York, NY 10065-6007

Mailing address

311 E 38th St, Apt 18E
New York, NY 10016-2729

Other practice locations

  • 550 1st Ave, New York, NY 10016-6402 · (212) 263-7300

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF430802-1 (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 1225448129

Christianne Supan's National Provider Identifier is 1225448129, issued on Apr 30, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Feb 4, 2019.