Healthcare Provider Details

I. General information

NPI: 1881849388
Provider Name (Legal Business Name): KATHERINE S EXTER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 04/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 EAST AVE
HILTON NY
14468-1333
US

IV. Provider business mailing address

74 BUGGYWHIP TRL
HONEOYE FALLS NY
14472-9723
US

V. Phone/Fax

Practice location:
  • Phone: 585-392-9100
  • Fax: 585-392-4020
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number335598
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF335598-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: