Provider Demographics
NPI:1295195717
Name:PAPPA, CORTNEY (BS, AAS)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:
Last Name:PAPPA
Suffix:
Gender:F
Credentials:BS, AAS
Other - Prefix:
Other - First Name:CORTNEY
Other - Middle Name:
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, AAS
Mailing Address - Street 1:710 ASHFORD WAY
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-9766
Mailing Address - Country:US
Mailing Address - Phone:585-794-7304
Mailing Address - Fax:
Practice Address - Street 1:710 ASHFORD WAY
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-9766
Practice Address - Country:US
Practice Address - Phone:585-794-7304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY692021-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse