Individual
MRS. MICHELLE PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1548 SCHLEGEL RD, WEBSTER, NY 14580-8506
(585) 265-2500
Mailing address
25 CHIPPENHAM DR, PENFIELD, NY 14526-1909
(585) 474-5503
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
508047-1
NY
Other
Enumeration date
11/19/2016
Last updated
11/19/2016
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