Healthcare Provider Details

I. General information

NPI: 1295760965
Provider Name (Legal Business Name): ANN FORD FRICKE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/05/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

1238 CRITTENDEN RD
ROCHESTER NY
14623-2306
US

V. Phone/Fax

Practice location:
  • Phone: 585-341-0007
  • Fax: 585-341-0008
Mailing address:
  • Phone: 585-424-2715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number302030
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number302030-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: