MEDICARE: KATHERINE L GAFFNEY CRNP

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
1	363LF0000X	Family Nurse Practitioner	343106	NY
2	363LF0000X	Family Nurse Practitioner	SP016884	PA

General Provider Information

NPI Number	:	1497299895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE L GAFFNEY CRNP

Provider Business Mailing Address
First Line	:	335 PARRISH STREET
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1794
Country	:	US
Telephone Number	:	585-393-2888
Fax Number	:

Provider Business Practice Location Address
First Line	:	805 SIR THOMAS CT STE 2
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-4816
Country	:	US
Telephone Number	:	717-657-3030
Fax Number	:	717-671-0991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2016
Last Update Date	:	12/20/2022

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