MEDICARE: MS. CATHERINE FRANCES COURTNEY 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
1	163W00000X	Registered Nurse	379092	NY

General Provider Information

NPI Number	:	1720388622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHERINE FRANCES COURTNEY R.N.

Provider Business Mailing Address
First Line	:	1902 S PARK AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14220-1538
Country	:	US
Telephone Number	:	716-867-5285
Fax Number	:

Provider Business Practice Location Address
First Line	:	1902 S PARK AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14220-1538
Country	:	US
Telephone Number	:	716-867-5285
Fax Number	:

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

Provider Enumeration Date	:	10/25/2010
Last Update Date	:	10/25/2010

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