National Provider Identifier

Tess Anna Interlicchia, FNP-C

Tess Anna Interlicchia, FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Corning, NY and a listed phone number of (607) 377-6832.

NPI 1225154479Corning, NYFamily Nurse Practitioner

Profile Overview

NPI
1225154479
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
March 21, 2007
Last Updated
April 29, 2022

Practice Location

  • 21 E Market St Ste 101
  • Corning, NY 14830-2650

Phone: (607) 377-6832

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Family Nurse Practitioner (363LF0000X)
  • Home Health Registered Nurse (163WH0200X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1225154479
Entity Type
Individual
Last Name
Interlicchia
First Name
Tess
Middle Name
Anna
Name Prefix
Miss
Credential
FNP-C
Mailing Street Address
21 E Market St Ste 101
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-2650
Mailing Country
US
Mailing Phone
(607) 377-6832
Mailing Fax
(607) 654-4122
Practice Street Address
21 E Market St Ste 101
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-2650
Practice Country
US
Practice Phone
(607) 377-6832
Practice Fax
(607) 654-4122
Enumeration Date
March 21, 2007
Last Updated
April 29, 2022
Sex
Female
Sole Proprietor
No
Certification Date
April 29, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Family Nurse Practitioner (363LF0000X), Home Health Registered Nurse (163WH0200X), Registered Nurse (163W00000X)