Jurene A. Antonucci, RN
Registered Nurse in Fairport, NY. Individual provider (NPI-1).
NPI number1669739686
StatusActive
Last updated in NPPESApr 15, 2012
Details
- NPI
- 1669739686
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jurene A. Antonucci
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2012
- Last updated
- Apr 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 286557-1 | NY | Yes |
Practice location
665 Ayrault RdFairport, NY 14450-3000
Phone 585-421-2067
Mailing address
665 Ayrault RdFairport, NY 14450-3000
Phone 585-421-2067
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