Individual
KRISTON RENE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-1930
(585) 756-5717
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-0638
(585) 273-3359
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
304197
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F304197
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02665254
—
NY
01
—
NP0795
PREFERRED CARE
NY
01
—
P019304197
BLUE CHOICE
NY
Enumeration date
07/05/2006
Last updated
07/05/2023
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