National Provider Identifier
Kristen Elizabeth Beideman, RN
Kristen Elizabeth Beideman, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Fairport, NY and a listed phone number of (585) 383-2200.
Profile Overview
- NPI
- 1730922030
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- June 14, 2024
- Last Updated
- June 14, 2024
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 383-2200
Mailing Address
- 965 Jordan Dr
- Palmyra, NY 14522-9549
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1730922030
- Entity Type
- Individual
- Last Name
- Beideman
- First Name
- Kristen
- Middle Name
- Elizabeth
- Credential
- RN
- Provider Other Last Name
- Bloom
- Provider Other First Name
- Kristen
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 965 Jordan Dr
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-9549
- Mailing Country
- US
- Mailing Phone
- (585) 200-1731
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 383-2200
- Enumeration Date
- June 14, 2024
- Last Updated
- June 14, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)