Defayette, Nicole Marie

Defayette, Nicole Marie is an sole proprietor health care provider with primary practice located at 395 West Street Suite 007, Canandaigua NY 14424. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Defayette, Nicole Marie can be contacted via phone (315) 871-8712.

Contact Information

Primary practice address
395 West Street Suite 007 Canandaigua NY 14424
Phone: (315) 871-8712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 346113 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 346113 New York

Profile Details

NPI number 1144838400
LBN Legal business name Defayette, Nicole Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2020
Last updated Jul 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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