Individual provider · Type 1 NPI

Michael Shane Fauth, FNP

Family Nurse Practitioner · Pittsford, NY

NPI number 1710896436 Active

Practice location

735 Pittsford Victor Rd
Pittsford, NY 14534-3937

Call (585) 325-1120 Map

Mailing address

11 Pondview Dr
Pittsford, NY 14534-9501

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X360758 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1710896436

Michael Shane Fauth, FNP's National Provider Identifier is 1710896436, issued on Sep 7, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pittsford, NY. The record was last updated on Sep 7, 2026.