Provider Demographics
NPI:1003985839
Name:ORICO, JENIFER E (CRNA)
Entity Type:Individual
Prefix:
First Name:JENIFER
Middle Name:E
Last Name:ORICO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JENIFE
Other - Middle Name:E
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CR NA
Mailing Address - Street 1:930 DIBBLES TRL
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-8965
Mailing Address - Country:US
Mailing Address - Phone:585-671-2819
Mailing Address - Fax:
Practice Address - Street 1:930 DIBBLES TRL
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-8965
Practice Address - Country:US
Practice Address - Phone:585-671-2819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY377028367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB3137Medicare PIN