National Provider Identifier
Renee P Fonseca, FNP-C
Renee P Fonseca, FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Bath, NY and a listed phone number of (607) 664-4000.
Profile Overview
- NPI
- 1407177793
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 21, 2010
- Last Updated
- March 05, 2020
Practice Location
- 76 Veteran Ave
- Bath, NY 14810
Phone: (607) 664-4000
Mailing Address
- 4158 S Hill RD
- Campbell, NY 14821-9753
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1407177793
- Entity Type
- Individual
- Last Name
- Fonseca
- First Name
- Renee
- Middle Name
- P
- Credential
- FNP-C
- Provider Other Last Name
- Leonard
- Provider Other First Name
- Renee
- Provider Other Middle Name
- P
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4158 S Hill RD
- Mailing City
- Campbell
- Mailing State
- NY
- Mailing ZIP Code
- 14821-9753
- Mailing Country
- US
- Mailing Phone
- (607) 368-7063
- Practice Street Address
- 76 Veteran Ave
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810
- Practice Country
- US
- Practice Phone
- (607) 664-4000
- Enumeration Date
- June 21, 2010
- Last Updated
- March 05, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 05, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)