Individual
ANDREA LYNN HAEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7660 W RIDGE RD, BROCKPORT, NY 14420-1723
(585) 943-5755
Mailing address
7660 W RIDGE RD, BROCKPORT, NY 14420-1723
(585) 943-5755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
682879-01
NY
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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