Provider Demographics
NPI:1649538422
Name:PRATT, REBECCA (RN)
Entity type:Individual
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First Name:REBECCA
Middle Name:
Last Name:PRATT
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:88 TIOGA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2858
Mailing Address - Country:US
Mailing Address - Phone:607-962-0247
Mailing Address - Fax:607-962-0139
Practice Address - Street 1:1655 ELMWOOD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3429
Practice Address - Country:US
Practice Address - Phone:585-325-3220
Practice Address - Fax:585-325-3228
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY330345-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health