National Provider Identifier
Courtney Ann Nevin, PROFESSIONAL STUDENT
Courtney Ann Nevin, PROFESSIONAL STUDENT is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1245910009
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 18, 2023
- Last Updated
- May 19, 2025
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Mailing Address
- 100 Kings Highway South
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1245910009
- Entity Type
- Individual
- Last Name
- Nevin
- First Name
- Courtney
- Middle Name
- Ann
- Credential
- PROFESSIONAL STUDENT
- Mailing Street Address
- 100 Kings Highway South
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1900
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- July 18, 2023
- Last Updated
- May 19, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 19, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)