National Provider Identifier

Kathleen Mattoon Vanderbrook, N.P.

Kathleen Mattoon Vanderbrook, N.P. is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Clifton Springs, NY and a listed phone number of (315) 906-4059.

NPI 1255340782Clifton Springs, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1255340782
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
August 05, 2006
Last Updated
May 19, 2021

Practice Location

  • 4 Coulter RD Ste 1680
  • Clifton Springs, NY 14432-1122

Phone: (315) 906-4059

Mailing Address

  • 601 Elmwood Ave
  • Box 652
  • Rochester, NY 14642-0001

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)

Endpoints

  • kvanderbrook86015@direct.rochesterregional.org

    Direct Messaging Address | Rochester, NY 14625

Full Record
NPI
1255340782
Entity Type
Individual
Last Name
Vanderbrook
First Name
Kathleen
Middle Name
Mattoon
Credential
N.P.
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 652
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-7741
Mailing Fax
(585) 244-4320
Practice Street Address
4 Coulter RD Ste 1680
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432-1122
Practice Country
US
Practice Phone
(315) 906-4059
Practice Fax
(315) 906-4132
Enumeration Date
August 05, 2006
Last Updated
May 19, 2021
Sex
Female
Sole Proprietor
No
Certification Date
May 19, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
01545275 (NY)