Individual
THERESA M CADIEUX-MILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 273-3760
(585) 273-1129
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 273-3760
(585) 273-1129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303788
NY
363LA2200X
Adult Health Nurse Practitioner
303788
NY
363LA2200X
Adult Health Nurse Practitioner
F303788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03157288
—
NY
Enumeration date
05/30/2008
Last updated
07/05/2023
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