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NPI Code Detail

MEDICARE: AMY F DAGGETT ANP

MEDICARE:   AMY F DAGGETT  ANP
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
1363LA2200XAdult Health Nurse PractitionerF304425NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1189021CKOTHERNYPREFERRED CARE
200027656601OTHERNYUNIVERA HEALTHCARE
3P019304425OTHERNYRIPA & CROSSBRIDGE

General Provider Information

NPI Number : 1326154964
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY F DAGGETT ANP
Provider Business Mailing Address
First Line : 2020 CLINTON AVE S
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-5703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 CLINTON AVE S
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-5703
Country : US
Telephone Number : 585-473-8770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 02/24/2009

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Directions to “ AMY F DAGGETT ANP” Practice Location

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