Individual provider · Type 1 NPI
Maryanne Colleen Canavan, ANP
Adult Health Nurse Practitioner · New York, NY
NPI number
1588952972
Active
Practice location
1275 York Ave, Zuckerman 4th Floor
New York, NY 10065-6007
Mailing address
1457 Clove Valley Rd
Lagrangeville, NY 12540-6437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 30 305725 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1588952972
Maryanne Colleen Canavan, ANP's National Provider Identifier is 1588952972, issued on Jul 19, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jan 3, 2017.