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General NPI Number Information
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NPI Number | 1881945764
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Entity Type | Individual
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Provider Name | COLLEEN MICHELE BUD NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 990 SOUTH AVENUE PROFESSIONAL OFFICE BUILDING, SUITE 020
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City | ROCHESTER
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State | NY
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Zip | 14620
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Country | US
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Telephone | 585-341-8017
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Fax | 585-341-8308
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Provider Business Mailing Address
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Address Line | 4 SAYBROOKE DR
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City | PENFIELD
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State | NY
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Zip | 14526-1268
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0116076
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F337365-01
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License Number State | NY
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