Individual provider · Type 1 NPI
Christie Elizabeth Wanderer, NP
Family Nurse Practitioner · Stony Brook, NY
NPI number
1972182566
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
75 Midway St
Babylon, NY 11702-4311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 346430 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972182566
Christie Elizabeth Wanderer, NP's National Provider Identifier is 1972182566, issued on Apr 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 2, 2021.