National Provider Identifier

Stephanie Yates

Stephanie Yates is listed in the NPPES registry with a primary specialty of Registered Nurse in Fairport, NY and a listed phone number of (585) 383-6416.

NPI 1821721085Fairport, NYRegistered Nurse

Profile Overview

NPI
1821721085
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
July 06, 2022
Last Updated
July 06, 2022

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 383-6416

Mailing Address

  • 3164 Valley Dr
  • Walworth, NY 14568-9472

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1821721085
Entity Type
Individual
Last Name
Yates
First Name
Stephanie
Mailing Street Address
3164 Valley Dr
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-9472
Mailing Country
US
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 383-6416
Enumeration Date
July 06, 2022
Last Updated
July 06, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
July 06, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)