IndividualActive
Vanessa Defayette, RN
NPI 1023474301 · Neonatal Intensive Care Registered Nurse · Ticonderoga, NY
Provider details
- NPI number
- 1023474301
- Entity type
- Individual
- Primary specialty
- Neonatal Intensive Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 640873 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
116 Alexandria Ave
Ticonderoga, NY 12883-1644
Phone: (518) 834-7071
Approximate (ZIP-level) locationGet directions
Mailing address
314 Alexandria Ave
Ticonderoga, NY 12883-1654
Registry dates
- Enumerated
- 2016-01-03
- Last updated
- 2016-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.