Individual
MS. BETH LOUISE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
14 PLEASANT ST, FAIRPORT, NY 14450-1510
(585) 425-1153
Mailing address
14 PLEASANT ST, FAIRPORT, NY 14450-1510
(585) 425-1153
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306472-1
NY
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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