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NPI Code Detail

MEDICARE: MRS. MICHELLE L OKONIECZNY FNP-BC

MEDICARE: MRS. MICHELLE L OKONIECZNY FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner337330NY

General Provider Information

NPI Number : 1306100730
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE L OKONIECZNY FNP-BC
Provider Business Mailing Address
First Line : 300 WEST AVE
Second Line :
City : BROCKPORT
State : NY
Zip : 14420-1118
Country : US
Telephone Number : 585-637-3905
Fax Number : 585-637-2375
Provider Business Practice Location Address
First Line : 301 WEST AVE
Second Line :
City : ALBION
State : NY
Zip : 14411-1522
Country : US
Telephone Number : 585-637-3905
Fax Number : 585-637-2375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2012
Last Update Date : 08/12/2024

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Directions to “ MRS. MICHELLE L OKONIECZNY FNP-BC” Practice Location

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