Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 430814 | NY |
N | 363LA2100X | Nurse Practitioner - Acute Care | 430814 | NY |
NPI | 1003221391 |
---|---|
Provider Name | Jean R Mischler |
First Address | Colonie, NY 12205-4512 |
Second Address | Saratoga Springs, NY 12866-1090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2014 |
Last Update Date | 24/07/2019 |