National Provider Identifier

Mary Katherine Radford, RN

Mary Katherine Radford, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Fairport, NY and a listed phone number of (585) 309-2407.

NPI 1831899145Fairport, NYRegistered Nurse

Profile Overview

NPI
1831899145
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
March 06, 2023
Last Updated
March 06, 2023

Practice Location

  • 1 Fairfield Dr
  • Fairport, NY 14450-2213

Phone: (585) 309-2407

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1831899145
Entity Type
Individual
Last Name
Radford
First Name
Mary
Middle Name
Katherine
Name Prefix
MS.
Credential
RN
Mailing Street Address
1 Fairfield Dr
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-2213
Mailing Country
US
Mailing Phone
(585) 309-2407
Practice Street Address
1 Fairfield Dr
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-2213
Practice Country
US
Practice Phone
(585) 309-2407
Enumeration Date
March 06, 2023
Last Updated
March 06, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
March 06, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)
Other Identifiers
01657001 (NY)