Healthcare Provider Details

I. General information

NPI: 1578886073
Provider Name (Legal Business Name): ELLEN L BEST RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ELMWOOD AVE SUITE 100
ROCHESTER NY
14620-3042
US

IV. Provider business mailing address

1000 ELMWOOD AVE SUITE 100
ROCHESTER NY
14620-3042
US

V. Phone/Fax

Practice location:
  • Phone: 585-271-0761
  • Fax: 585-244-0205
Mailing address:
  • Phone: 585-271-0761
  • Fax: 585-244-0205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number513823
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: