Healthcare Provider Details

I. General information

NPI: 1316522717
Provider Name (Legal Business Name): JANICE MARIE SETERA R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. JANICE SETERA START

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 03/17/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WHITE SPRUCE BLVD
ROCHESTER NY
14623-1610
US

IV. Provider business mailing address

103 WHITE SPRUCE BLVD
ROCHESTER NY
14623-1610
US

V. Phone/Fax

Practice location:
  • Phone: 585-292-5830
  • Fax: 585-292-5847
Mailing address:
  • Phone: 585-292-5830
  • Fax: 585-292-5847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number331899
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: