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Ms. Kathryn Ellen Ericksen

Nurse Practitioner - Gerontology

3700 Old Vestal Rd
Vestal , New York 13850-2229

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Ms. Kathryn Ellen Ericksen

Nurse Practitioner - Gerontology

3700 Old Vestal Rd
Vestal , New York 13850-2229

(607) 621-0313

Write a Review Save Call

Ms. Kathryn Ellen Ericksen

Nurse Practitioner - Gerontology

3700 Old Vestal Rd
Vestal , New York 13850-2229

(607) 621-0313 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Gerontology

Languages spoken

  • English

Location

3700 Old Vestal Rd Vestal , New York 13850-2229

First Address

  • Ms. Kathryn Ellen Ericksen
  • 385 Ingraham Hill Rd
  • Binghamton, NY
  • Zip : 13903-5513
  • Phone : (607) 621-0313

Second Address

  • Ms. Kathryn Ellen Ericksen
  • 3700 Old Vestal Rd
  • Vestal, NY
  • Zip : 13850-2229
  • Phone : (607) 221-2745

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FAQs


Where did Ms. Kathryn Ellen Ericksen attend graduate school?

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Where did Ms. Kathryn Ellen Ericksen do her residency?

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Where did Ms. Kathryn Ellen Ericksen do her fellowship?

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Is Ms. Kathryn Ellen Ericksen board certified?

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What type of doctor is Ms. Kathryn Ellen Ericksen

Nurse Practitioner - Gerontology

In what state does Ms. Kathryn Ellen Ericksen practice in?

New York

Where is Ms. Kathryn Ellen Ericksen ’s practice located?

3700 Old Vestal Rd , Vestal, New York, 13850-2229

What is Ms. Kathryn Ellen Ericksen ’s gender?

Female

Is Ms. Kathryn Ellen Ericksen a sole practitioner?

No

Is Ms. Kathryn Ellen Ericksen accepting new patients?

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What languages does Ms. Kathryn Ellen Ericksen speak?

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Does Ms. Kathryn Ellen Ericksen accept insurance?

Yes, Ms. Kathryn Ellen Ericksen accepts insurance

Does Ms. Kathryn Ellen Ericksen offers telemedicine?

Ms. Kathryn Ellen Ericksen has not indicated if she offers telemedicine

What is Ms. Kathryn Ellen Ericksen ’s professional license number?

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What is Ms. Kathryn Ellen Ericksen ’s NPI number?

1023240116

Does Ms. Kathryn Ellen Ericksen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LG0600X Nurse Practitioner - Gerontology 340744-1 NY

National Provider Identifier

NPI 1023240116
Provider Name Ms. Kathryn Ellen Ericksen
First Address Binghamton, NY 13903-5513
Second Address Vestal, NY 13850-2229
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/08/2009
Last Update Date 22/08/2009

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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