Provider Demographics
NPI:1881945764
Name:BUD, COLLEEN MICHELE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:MICHELE
Last Name:BUD
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SAYBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-1268
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:990 SOUTH AVENUE
Practice Address - Street 2:PROFESSIONAL OFFICE BUILDING, SUITE 020
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620
Practice Address - Country:US
Practice Address - Phone:585-341-8017
Practice Address - Fax:585-341-8308
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0116076363LF0000X
NYF337365-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily