VICTORIA ALEXEJEVNA FOUNTAINE FNP
NPI 1063291839
Nurse Practitioner - Family in Pittsford, NY
Active since September 21, 2023
About Victoria Alexejevna Fountaine Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICTORIA ALEXEJEVNA FOUNTAINE FNP (NPI 1063291839) is an individual family provider in Pittsford, New York, licensed in New York (351089) and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1063291839
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVICTORIA ALEXEJEVNA FOUNTAINECredential: FNP
Location Address70 OLD STONEFIELD WAYPittsford, NY 14534-9506
Mailing Address70 Old Stonefield WayPittsford, NY 14534-9506
Phone(585) 309-4645
Sole ProprietorNo
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1063291839 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 351089
70 OLD STONEFIELD WAY, Pittsford, NY 14534
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063291839, enumerated as an "individual" on September 21, 2023.
The provider is located at 70 OLD STONEFIELD WAY PITTSFORD, NY 14534 and the phone number is (585) 309-4645.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
