Healthcare Provider Details

I. General information

NPI: 1528069572
Provider Name (Legal Business Name): JOANNE HIRST ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W MAIN ST ST. MARY'S FAMILY HEALTH CTR. AT CANAJOHARIE
CANAJOHARIE NY
13317-1114
US

IV. Provider business mailing address

ST. MARY'S HOSPITAL AT AMSTERDAM 427 GUY PARK AVENUE - PRIMARY CARE
AMSTERDAM NY
12010-1054
US

V. Phone/Fax

Practice location:
  • Phone: 518-673-2573
  • Fax: 518-673-2781
Mailing address:
  • Phone: 518-841-7430
  • Fax: 518-841-7121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF301996-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: