MICHELLE DURHAM FNP NPI 1023172202

NPI Information

NPI: 1023172202
Provider Name: MICHELLE DURHAM, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: WELLNOW URGENT CARE PC

PECOS Registration: Yes

Address:
789 PRE EMPTION RD
SUITE 600
GENEVA, NY
ZIP 14456
Phone: (315) 781-2000
Get Directions

Michelle Durham, FNP is a family nurse practitioner in Geneva, NY with 40 years of experience. Michelle Durham, FNP NPI is 1023172202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

789 PRE EMPTION RD
SUITE 600
GENEVA, NY
ZIP 14456-069
Phone: (315) 781-2000
Fax: (315) 719-0230

The NPI 1023172202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 4/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F3326901	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02073590	MEDICAID	NEW YORK
2	DD1425	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	P12946	MEDICARE UPIN	NEW YORK
4	109568DL	OTHER	NEW YORK	PREFERRED CARE
5	P019332690	OTHER	NEW YORK	BLUE CROSS
6	109568BJ	OTHER	NEW YORK	PREFERRED CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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