Healthcare Provider Details

I. General information

NPI: 1538360300
Provider Name (Legal Business Name): ANNE C.J. OLEK RN,MS,CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 GREECE RIDGE CENTER DR
ROCHESTER NY
14626-2815
US

IV. Provider business mailing address

18 HILLTOP DR
PITTSFORD NY
14534-2246
US

V. Phone/Fax

Practice location:
  • Phone: 585-966-2876
  • Fax: 585-227-9365
Mailing address:
  • Phone: 585-387-9113
  • Fax: 585-387-9113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF330421-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: