National Provider Identifier

Nicole Marie Defayette, FNP

Nicole Marie Defayette, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Canandaigua, NY and a listed phone number of (315) 871-8712.

NPI 1144838400Canandaigua, NYFamily Nurse Practitioner

Profile Overview

NPI
1144838400
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 22, 2020
Last Updated
July 03, 2023

Practice Location

  • 395 West Street
  • Suite 007
  • Canandaigua, NY 14424

Phone: (315) 871-8712

Mailing Address

  • 470 William St
  • Geneva, NY 14456-2142

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Nurse Practitioner (363L00000X)

Endpoints

  • ndefayette82299@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1144838400
Entity Type
Individual
Last Name
Defayette
First Name
Nicole
Middle Name
Marie
Name Prefix
Mrs.
Credential
FNP
Mailing Street Address
470 William St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-2142
Mailing Country
US
Mailing Phone
(315) 871-8712
Practice Street Address
395 West Street
Practice Address Line 2
Suite 007
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424
Practice Country
US
Practice Phone
(315) 871-8712
Enumeration Date
July 22, 2020
Last Updated
July 03, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
July 22, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Nurse Practitioner (363L00000X)