Individual
NICOLE J WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
200 E RIVER RD, ROCHESTER, NY 14623-1212
(585) 275-2808
(585) 275-3683
Mailing address
601 ELMWOOD AVE BOX 278984, ROCHESTER, NY 14642-0001
(585) 275-2808
(585) 275-3683
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
383255
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F383255
NY
Other
Enumeration date
06/22/2021
Last updated
07/07/2023
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