Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 3399161 | NY |
NPI | 1558579060 |
---|---|
Provider Name | Teresa Folts |
First Address | Rochester, NY 14621-3036 |
Second Address | Rochester, NY 14621-3036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/07/2007 |