Provider Demographics
NPI:1598908600
Name:DENNIS, REBECCA C (FNP)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:C
Last Name:DENNIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 LOWER CAMPUS DRIVE
Mailing Address - Street 2:ALFRED STATE COLLEGE HEALTH SERVICES
Mailing Address - City:ALFRED
Mailing Address - State:NY
Mailing Address - Zip Code:14802-1137
Mailing Address - Country:US
Mailing Address - Phone:607-587-4200
Mailing Address - Fax:607-587-4203
Practice Address - Street 1:10 LOWER CAMPUS DRIVE
Practice Address - Street 2:ALFRED STATE COLLEGE HEALTH SERVICES
Practice Address - City:ALFRED
Practice Address - State:NY
Practice Address - Zip Code:14802-1137
Practice Address - Country:US
Practice Address - Phone:607-587-4200
Practice Address - Fax:607-587-4203
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF332709363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily