Healthcare Provider Details

I. General information

NPI: 1073128781
Provider Name (Legal Business Name): DENISE MARY-FRANCES LORENZETTI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DENISE LORENZETTI CAREY RN

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 09/10/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 CHAPEL ST
SENECA FALLS NY
13148-1312
US

IV. Provider business mailing address

65 CHAPEL ST
SENECA FALLS NY
13148-1312
US

V. Phone/Fax

Practice location:
  • Phone: 315-729-4489
  • Fax:
Mailing address:
  • Phone: 315-729-4489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0003X
TaxonomyLow-Risk Neonatal Registered Nurse
License Number588149
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number588149
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number588149
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: