Individual
BRITTANY NICOLE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1425 PORTLAND AVENUE, WILSON BUILDING, ROCHESTER, NY 14621
(585) 254-1850
(585) 254-0549
Mailing address
1425 PORTLAND AVENUE, WILSON BUILDING, ROCHESTER, NY 14621
(585) 254-1850
(585) 254-0549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05005014
—
NY
Enumeration date
12/01/2017
Last updated
01/06/2023
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