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NPI Code Detail

MEDICARE: SALLY-ANN WHELAN NP

MEDICARE: SALLY-ANN WHELAN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerF302123NY

General Provider Information

NPI Number : 1265578264
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY-ANN WHELAN NP
Provider Business Mailing Address
First Line : 4044 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-3740
Country : US
Telephone Number : 585-248-8642
Fax Number :
Provider Business Practice Location Address
First Line : 1000 SOUTH AVE
Second Line : BOX 63
City : ROCHESTER
State : NY
Zip : 14620-2782
Country : US
Telephone Number : 585-341-6623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 01/11/2026

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