National Provider Identifier

Rebecca Kavanaugh, FNP

Rebecca Kavanaugh, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-5321.

NPI 1215747357Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1215747357
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
January 10, 2025
Last Updated
January 10, 2025

Practice Location

  • 10 Miracle Mile Dr
  • Rochester, NY 14623-5851

Phone: (585) 275-5321

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1215747357
Entity Type
Individual
Last Name
Kavanaugh
First Name
Rebecca
Credential
FNP
Mailing Street Address
10 Miracle Mile Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-5851
Mailing Country
US
Mailing Phone
(585) 275-5321
Practice Street Address
10 Miracle Mile Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-5851
Practice Country
US
Practice Phone
(585) 275-5321
Enumeration Date
January 10, 2025
Last Updated
January 10, 2025
Sex
Female
Sole Proprietor
No
Certification Date
January 10, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)