Individual provider · Type 1 NPI

Nicole Marie Defayette, FNP

Family Nurse Practitioner · Canandaigua, NY

NPI number 1144838400 Active

Practice location

395 West Street, Suite 007
Canandaigua, NY 14424

Mailing address

470 William St
Geneva, NY 14456-2142

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X346113 (NY)
Family Nurse Practitioner Primary 363LF0000X346113 (NY)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1144838400

Nicole Marie Defayette, FNP's National Provider Identifier is 1144838400, issued on Jul 22, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canandaigua, NY. The record was last updated on Jul 3, 2023.