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Individual

MS. REBECCA KATHLEEN LEDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RN, PNP-BC

Contact information

Practice address
22 RED JACKET ST, DANSVILLE, NY 14437-9502
(585) 335-5200
Mailing address
16 BORDEAUX WAY, FAIRPORT, NY 14450-4614
(585) 683-1413

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95029971
CA
363LP0200X
Pediatric Nurse Practitioner
F380349-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02074826
NY
Enumeration date
10/13/2006
Last updated
12/19/2024
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