Sara L Gleasman-Desimone, NP
Nurse Practitioner, Adult Health in Liverpool, NY. Individual provider (NPI-1).
NPI number1841284064
StatusActive
Last updated in NPPESMay 25, 2012
Details
- NPI
- 1841284064
- Entity type
- Individual (NPI-1)
- Name
- Sara L Gleasman-Desimone
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2005
- Last updated
- May 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F304003 | NY | Yes |
Practice location
5112 W Taft RdSuite H
Liverpool, NY 13088-4868
Phone 315-452-3235 · Fax 315-452-5726
Mailing address
5112 W Taft RdSuite H
Liverpool, NY 13088-4868
Phone 315-452-3235 · Fax 315-452-5726
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All 12 Adult Health Nurse Practitioner providers in Liverpool · All 1,360 providers in Liverpool
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