Angela D Dumas, RN
Registered Nurse, General Practice in Fairport, NY. Individual provider (NPI-1).
NPI number1013579366
StatusActive
Last updated in NPPESJul 7, 2019
Details
- NPI
- 1013579366
- Entity type
- Individual (NPI-1)
- Name
- Angela D Dumas
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2019
- Last updated
- Jul 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 667465 | NY | Yes |
Practice location
1349 Ayrault Rd Apt 78Fairport, NY 14450-8911
Phone 585-500-9142
Mailing address
1349 Ayrault Rd Apt 78Fairport, NY 14450-8911
Phone 585-500-9142
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