National Provider Identifier
Andrea Lynn Haefner, RN
Andrea Lynn Haefner, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Brockport, NY and a listed phone number of (585) 943-5755.
Profile Overview
- NPI
- 1619590874
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 22, 2020
- Last Updated
- May 22, 2020
Practice Location
- 7660 W Ridge RD
- Brockport, NY 14420-1723
Phone: (585) 943-5755
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1619590874
- Entity Type
- Individual
- Last Name
- Haefner
- First Name
- Andrea
- Middle Name
- Lynn
- Credential
- RN
- Mailing Street Address
- 7660 W Ridge RD
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1723
- Mailing Country
- US
- Mailing Phone
- (585) 943-5755
- Practice Street Address
- 7660 W Ridge RD
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1723
- Practice Country
- US
- Practice Phone
- (585) 943-5755
- Enumeration Date
- May 22, 2020
- Last Updated
- May 22, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 22, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)