Provider Demographics
NPI:1316522717
Name:SETERA, JANICE MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:MARIE
Last Name:SETERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JANICE
Other - Middle Name:SETERA
Other - Last Name:START
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:103 WHITE SPRUCE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1610
Mailing Address - Country:US
Mailing Address - Phone:585-292-5830
Mailing Address - Fax:585-292-5847
Practice Address - Street 1:103 WHITE SPRUCE BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1610
Practice Address - Country:US
Practice Address - Phone:585-292-5830
Practice Address - Fax:585-292-5847
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331899163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health