Frances Ajayi

Individual provider Active NPI Registered Nurse · Brockport, NY

NPI 1124568787 · NPPES record last updated Mar 2, 2017

Key facts

NPI
1124568787
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
722797 (NY)
Practice address
97 Adams St
Apt 1B
Brockport, NY 14420-2267
Phone
(347) 228-6903
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
722797NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 722797 NY Yes

Addresses

Primary practice location

97 Adams St
Apt 1B
Brockport, NY 14420-2267

Mailing address

97 Adams St
Apt 1B
Brockport, NY 14420-2267
Phone (347) 228-6903

Other providers in Brockport, NY

All providers in Brockport, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.