Durham, Michelle

Durham, Michelle is an individual health care provider with primary practice located at 789 Pre Emption Rd Suite 600, Geneva NY 14456-2069. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Durham, Michelle can be contacted via phone (315) 781-2000.

Contact Information

Primary practice address
789 Pre Emption Rd Suite 600 Geneva NY 14456-2069
Phone: (315) 781-2000
Fax: (315) 719-0230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3326901 New York

Profile Details

NPI number 1023172202
LBN Legal business name Durham, Michelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Apr 27th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023172202 NPPES
New York Other P019332690 BLUE CROSS
New York MEDICAID 02073590 BLUE CROSS
New York Other 109568BJ BLUE CROSS
New York Other 109568DL BLUE CROSS

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