Individual provider · Type 1 NPI

Courtney Ann Nevin, PROFESSIONAL STUDENT

Medical Physician Assistant · Rochester, NY

NPI number 1245910009 Active

Practice location

1425 Portland Ave
Rochester, NY 14621-3001

Call (585) 922-4000 Map

Mailing address

100 Kings Highway South
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X030327 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1245910009

Courtney Ann Nevin, PROFESSIONAL STUDENT's National Provider Identifier is 1245910009, issued on Jul 18, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on May 19, 2025.