Individual provider · Type 1 NPI
Suellen Elmendorf, FNP
Family Nurse Practitioner · Olivebridge, NY
NPI number
1851617880
Active
Practice location
230 Crispell Rd
Olivebridge, NY 12461-5446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F336062-1 (NY) |
| Registered Nurse | 163W00000X | 345540 (NY) |
Family Nurse Practitioner: Definition to come...
About NPI 1851617880
Suellen Elmendorf, FNP's National Provider Identifier is 1851617880, issued on Apr 15, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Olivebridge, NY. The record was last updated on Nov 10, 2011.