Healthcare Provider Details

I. General information

NPI: 1437474236
Provider Name (Legal Business Name): JANET MARIE CUDNEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 N BROAD ST
WELLSVILLE NY
14895-1224
US

IV. Provider business mailing address

41 N BROAD ST
WELLSVILLE NY
14895-1224
US

V. Phone/Fax

Practice location:
  • Phone: 585-593-3852
  • Fax: 585-593-3907
Mailing address:
  • Phone: 585-593-3852
  • Fax: 585-593-3907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number292943
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: