Healthcare Provider Details

I. General information

NPI: 1053404632
Provider Name (Legal Business Name): BETH ANNE DELPAPA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/05/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVENUE BOX 679-Y
ROCHESTER NY
14642
US

IV. Provider business mailing address

1 WEBB AVENUE
CLIFTON SPRINGS NY
14432
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-4775
  • Fax: 585-242-9549
Mailing address:
  • Phone: 315-462-2704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number332741
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF332741-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: