National Provider Identifier
Heather Elizabeth Difederico, RN
Heather Elizabeth Difederico, RN is listed in the NPPES registry with a primary specialty of School Registered Nurse in Geneva, NY and a listed phone number of (315) 781-0402.
Profile Overview
- NPI
- 1235794553
- Provider Type
- Individual
- Primary Specialty
- School Registered Nurse
- Enumeration Date
- May 02, 2019
- Last Updated
- May 02, 2019
Practice Location
- 101 Carter RD
- Geneva, NY 14456-1053
Phone: (315) 781-0402
Mailing Address
- 101 Carter RD
- Geneva, NY 14456-1092
Specialties
- School Registered Nurse (163WS0200X)
Full Record
- NPI
- 1235794553
- Entity Type
- Individual
- Last Name
- Difederico
- First Name
- Heather
- Middle Name
- Elizabeth
- Credential
- RN
- Provider Other Last Name
- McKane
- Provider Other First Name
- Heather
- Provider Other Middle Name
- Elizabeth
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 101 Carter RD
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1092
- Mailing Country
- US
- Mailing Phone
- (315) 781-0402
- Mailing Fax
- (315) 828-1790
- Practice Street Address
- 101 Carter RD
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1053
- Practice Country
- US
- Practice Phone
- (315) 781-0402
- Practice Fax
- (315) 828-1790
- Enumeration Date
- May 02, 2019
- Last Updated
- May 02, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Registered Nurse (163WS0200X)