National Provider Identifier
Michelle Katherine Addison
Michelle Katherine Addison is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 267-4040.
Profile Overview
- NPI
- 1043820251
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 03, 2020
- Last Updated
- August 23, 2022
Practice Location
- 20 Hagen Dr Ste 330
- Rochester, NY 14625-2664
Phone: (585) 267-4040
Mailing Address
- 109 Armstrong Ave
- Rochester, NY 14617-4603
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1043820251
- Entity Type
- Individual
- Last Name
- Addison
- First Name
- Michelle
- Middle Name
- Katherine
- Provider Other Last Name
- Hiczun
- Provider Other First Name
- Michelle
- Provider Other Middle Name
- Katherine
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 109 Armstrong Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-4603
- Mailing Country
- US
- Mailing Phone
- (716) 957-8537
- Practice Street Address
- 20 Hagen Dr Ste 330
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-2664
- Practice Country
- US
- Practice Phone
- (585) 267-4040
- Enumeration Date
- August 03, 2020
- Last Updated
- August 23, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)