Healthcare Provider Details

I. General information

NPI: 1992771588
Provider Name (Legal Business Name): CHRISTAL LEANN SAFFEE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 08/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 DEDHAM POST DR
SCHENECTADY NY
12303-5275
US

IV. Provider business mailing address

115 DEDHAM POST DR
SCHENECTADY NY
12303-5275
US

V. Phone/Fax

Practice location:
  • Phone: 402-476-1455
  • Fax: 402-476-1670
Mailing address:
  • Phone: 402-476-1455
  • Fax: 402-476-1670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number110570
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: