Susan Agugua-Anyene, FNP
Nurse Practitioner, Family in Middletown, NY. Individual provider (NPI-1).
NPI number1710442504
StatusActive
Last updated in NPPESFeb 21, 2022
Details
- NPI
- 1710442504
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Agugua-Anyene
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2019
- Certification date
- Jan 17, 2022
- Last updated
- Feb 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F342878 | NY | Yes |
Practice location
707 E Main StMiddletown, NY 10940-2650
Phone 845-333-7575 · Fax 845-333-7139
Mailing address
707 E Main StMiddletown, NY 10940-2650
Phone 845-333-7575 · Fax 845-333-7139
Other practice locations
68 Harris Bushville Rd
Harris, NY 12742
Harris, NY 12742
Phone 845-333-8484 · Fax 845-794-5675
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