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Shirley S Mandeville, FNP
Family Nurse Practitioner in Rochester, New York
NPI 1538113816

Shirley S Mandeville is a Family Nurse Practitioner based in Leicester, NY and is specialized in Family. Shirley S Mandeville practices in Rochester, NY and has the professional credentials of FNP. The NPI Number for Shirley S Mandeville is 1538113816 and holds a License No. F331695-1 (New York).

The current practice location address for Shirley S Mandeville is 601 Elmwood Ave, Rochester, NY and can be reached out via phone at 585-276-3332.

Location: 601 Elmwood Ave, Rochester, NY, 14481-9621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538113816
Provider Name
Shirley S Mandeville
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
601 Elmwood Ave, Rochester, NY, 14481-9621
Phone Number
585-276-3332
Fax Number
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9512361 01 NY INDEPENDENT HEALTH
01791166 05 NY
P019331695 01 NY ROCH BS
institution
Provider Business Practice Location Address Details
Address
601 Elmwood Ave
City
Rochester
State
New York
Zip
14642-1413
Phone Number
585-276-3332
Fax Number
person
Provider Business Mailing Address Details
Address
601 Elmwood Ave
City
Rochester
State
New York
Zip
14642-1413
Phone Number
585-276-3332
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F331695-1 (New York)
Definition
Definition to come...
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