Individual provider · Type 1 NPI
Renee P. Fonseca, FNP-C
Family Nurse Practitioner · Bath, NY
NPI number
1407177793
Active
Practice location
76 Veteran Ave
Bath, NY 14810
Mailing address
4158 S Hill Rd
Campbell, NY 14821-9753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 336393 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407177793
Renee P. Fonseca, FNP-C's National Provider Identifier is 1407177793, issued on Jun 21, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bath, NY. The record was last updated on Mar 5, 2020.