Healthcare Provider Details

I. General information

NPI: 1316900616
Provider Name (Legal Business Name): LINDA PAINE-HUGHES C FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: LINDA PHILLIPS

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MAIN ST
OAKFIELD NY
14125-1014
US

IV. Provider business mailing address

9401 WORTENDYKE RD
BATAVIA NY
14020
US

V. Phone/Fax

Practice location:
  • Phone: 585-948-8077
  • Fax: 585-948-9159
Mailing address:
  • Phone: 585-344-1263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF3317611
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: