Individual provider · Type 1 NPI
Kristen Marie Maas, PNP
Pediatric Nurse Practitioner · Syracuse, NY
NPI number
1922572379
Active
Practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
8209 Yukon Dr
Cicero, NY 13039-9388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382886 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1922572379
Kristen Marie Maas, PNP's National Provider Identifier is 1922572379, issued on Jan 18, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Syracuse, NY. The record was last updated on Jan 18, 2019.