Healthcare Provider Details

I. General information

NPI: 1902307291
Provider Name (Legal Business Name): REBECCA L DUNN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA L DUNN-CASSELL

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 GOODBURLET RD
HENRIETTA NY
14467-7099
US

IV. Provider business mailing address

68 ROCHESTER ST
SCOTTSVILLE NY
14546-1335
US

V. Phone/Fax

Practice location:
  • Phone: 585-622-1086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number721577
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number361010
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: