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NPI Code Detail

MEDICARE: KRISTIE CHATTERTON R.N.

MEDICARE:   KRISTIE  CHATTERTON  R.N.
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
1163W00000XRegistered Nurse630014NY

General Provider Information

NPI Number : 1487963666
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIE CHATTERTON R.N.
Provider Business Mailing Address
First Line : 2245 ENGLISH RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14616-1651
Country : US
Telephone Number : 585-227-3325
Fax Number : 585-227-9808
Provider Business Practice Location Address
First Line : 2245 ENGLISH RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14616-1651
Country : US
Telephone Number : 585-227-3325
Fax Number : 585-227-9808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2010
Last Update Date : 10/05/2010

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Directions to “ KRISTIE CHATTERTON R.N.” Practice Location

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