Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 420762 | NY |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 420762 | NY |
NPI | 1023161155 |
---|---|
Provider Name | Danielle K Feerick |
First Address | Rochester, NY 14620-4159 |
Second Address | Rochester, NY 14620-4159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2007 |
Last Update Date | 26/11/2012 |