National Provider Identifier

Heather Marie Deruyter, RN

Heather Marie Deruyter, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Canandaigua, NY and a listed phone number of (585) 396-8849.

NPI 1588149611Canandaigua, NYRegistered Nurse

Profile Overview

NPI
1588149611
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
September 25, 2018
Last Updated
September 25, 2018

Practice Location

  • 3019 County Complex Dr
  • Canandaigua, NY 14424-9505

Phone: (585) 396-8849

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1588149611
Entity Type
Individual
Last Name
Deruyter
First Name
Heather
Middle Name
Marie
Credential
RN
Mailing Street Address
3019 County Complex Dr
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-9505
Mailing Country
US
Mailing Phone
(585) 396-8849
Mailing Fax
(585) 396-4551
Practice Street Address
3019 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9505
Practice Country
US
Practice Phone
(585) 396-8849
Practice Fax
(585) 396-4551
Enumeration Date
September 25, 2018
Last Updated
September 25, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)