Individual provider · Type 1 NPI
Diamond Juilet Anderson
Family Nurse Practitioner · Rochester, NY
NPI number
1255603312
Active
Practice location
1415 Portland Ave
Rochester, NY 14621-3038
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice locations
- 121 Manor Pkwy, #2, Rochester, NY 14620-2630 · (585) 355-4475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 308353 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 352249 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255603312
Diamond Juilet Anderson's National Provider Identifier is 1255603312, issued on Feb 6, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rochester, NY. The record was last updated on Aug 1, 2024.