| Doctor Name: | MICHELLE DURHAM |
| NPI Number: | 1023172202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F3326901 |
| Business Practice Address: | 789 Pre Emption Rd Suite 600 Geneva, NY - 144562069 |
| Business Phone Number: | 3157812000 |
| Business Fax Number: | 3157190230 |
| Mailing Address: | Po Box 1077, GENEVA |
| State: | NY |
| Postal Code: | 144568077 |
| Phone Number: | 3152305646 |
| Fax Number: | 3152305645 |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 04/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F3326901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |