MRS. Nicole Marie Defayette, FNP
NPI #1144838400 in Canandaigua, New York
Provider Information
- NPI Number
- 1144838400
- Entity Type
- Individual
- Name
- MRS. Nicole Marie Defayette, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jul 22, 2020
- Last Updated
- Jul 3, 2023
Practice Location
- Address
- 395 WEST STREET
- Address 2
- SUITE 007
- City
- Canandaigua
- State
- New York
- ZIP Code
- 14424
- Phone
- (315) 871-8712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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