Individual
CARLY MICHELLE VAN PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-1552
(585) 275-2100
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2355575
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2355575
MA
Other
Enumeration date
08/20/2021
Last updated
10/15/2024
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