Individual
MRS. NICOLE M DEPUYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7000
Mailing address
1263 COUNTY ROAD 8, FARMINGTON, NY 14425-9580
(315) 651-3311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310067
NY
390200000X
Student in an Organized Health Care Education/Training Program
655180
NY
Other
Enumeration date
07/26/2020
Last updated
11/11/2020
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