National Provider Identifier

Michelle Durham, FNP

Michelle Durham, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Geneva, NY and a listed phone number of (315) 781-2000.

NPI 1023172202Geneva, NYFamily Nurse Practitioner

Profile Overview

NPI
1023172202
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
December 21, 2006
Last Updated
April 27, 2010

Practice Location

  • 789 Pre Emption RD
  • Suite 600
  • Geneva, NY 14456-2069

Phone: (315) 781-2000

Mailing Address

  • PO Box 1077
  • Geneva, NY 14456-8077

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1023172202
Entity Type
Individual
Last Name
Durham
First Name
Michelle
Credential
FNP
Mailing Street Address
PO Box 1077
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-8077
Mailing Country
US
Mailing Phone
(315) 230-5646
Mailing Fax
(315) 230-5645
Practice Street Address
789 Pre Emption RD
Practice Address Line 2
Suite 600
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-2069
Practice Country
US
Practice Phone
(315) 781-2000
Practice Fax
(315) 719-0230
Enumeration Date
December 21, 2006
Last Updated
April 27, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)
Other Identifiers
P019332690 (NY, Blue Cross), 02073590 (NY), 109568BJ (NY, Preferred Care), 109568DL (NY, Preferred Care)