Provider Demographics
NPI:1346573508
Name:STEDMAN, DENISE R (RN, BSN)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:R
Last Name:STEDMAN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 FREY ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-5213
Mailing Address - Country:US
Mailing Address - Phone:585-576-1715
Mailing Address - Fax:
Practice Address - Street 1:101 FREY ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-5213
Practice Address - Country:US
Practice Address - Phone:585-576-1715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY396376-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse