Individual provider · Type 1 NPI

Amy Nellie Lane

Family Nurse Practitioner · Latham, NY

NPI number 1710465299 Active

Practice location

8 Century Hill Dr
Latham, NY 12110-2193

Fax (518) 783-5426

Mailing address

7 Overlook Dr
Wynantskill, NY 12198-7458

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X343195 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1710465299

Amy Nellie Lane's National Provider Identifier is 1710465299, issued on Aug 6, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Latham, NY. The record was last updated on Aug 6, 2018.