National Provider Identifier

Krista Anne Vandusen, RN

Krista Anne Vandusen, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Ovid, NY and a listed phone number of (607) 403-0065.

NPI 1700622669Ovid, NYRegistered Nurse

Profile Overview

NPI
1700622669
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
July 01, 2024
Last Updated
July 01, 2024

Practice Location

  • 7150 Main St
  • Ovid, NY 14521-9401

Phone: (607) 403-0065

Mailing Address

  • 601B W Washington St
  • Geneva, NY 14456-2119

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1700622669
Entity Type
Individual
Last Name
Vandusen
First Name
Krista
Middle Name
Anne
Credential
RN
Mailing Street Address
601B W Washington St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-2119
Mailing Country
US
Mailing Phone
(315) 787-8151
Practice Street Address
7150 Main St
Practice City
Ovid
Practice State
NY
Practice ZIP Code
14521-9401
Practice Country
US
Practice Phone
(607) 403-0065
Enumeration Date
July 01, 2024
Last Updated
July 01, 2024
Sex
Female
Sole Proprietor
No
Certification Date
July 01, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)