National Provider Identifier
Michelle Passalacqua, RN
Michelle Passalacqua, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Fairport, NY and a listed phone number of (585) 421-2119.
Profile Overview
- NPI
- 1598488512
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- September 23, 2022
- Last Updated
- September 23, 2022
Practice Location
- 1 Dave Paddock Way
- Fairport, NY 14450
Phone: (585) 421-2119
Mailing Address
- 21 Royale Dr
- Fairport, NY 14450-8419
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1598488512
- Entity Type
- Individual
- Last Name
- Passalacqua
- First Name
- Michelle
- Credential
- RN
- Mailing Street Address
- 21 Royale Dr
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-8419
- Mailing Country
- US
- Mailing Phone
- (585) 421-2119
- Practice Street Address
- 1 Dave Paddock Way
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450
- Practice Country
- US
- Practice Phone
- (585) 421-2119
- Enumeration Date
- September 23, 2022
- Last Updated
- September 23, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 21, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)