MEDICARE: NP FAMILY CARE OF ROCHESTER, PLLC

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
1	363LF0000X	Family Nurse Practitioner	334935	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699162800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NP FAMILY CARE OF ROCHESTER, PLLC

Provider Business Mailing Address
First Line	:	8 S PITTSFORD HILL LN
Second Line	:
City	:	PITTSFORD
State	:	NY
Zip	:	14534-2893
Country	:	US
Telephone Number	:	585-305-7934
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 S CLINTON AVE STE 440
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-5719
Country	:	US
Telephone Number	:	585-305-7934
Fax Number	:	585-287-5548

Authorized Official
Title or Position	:	OWNER
Name	:	LAURA MARKWICK
Credential	:	DNP, FNP-C
Telephone Number	:	585-305-7934

Provider Enumeration Date	:	04/26/2015
Last Update Date	:	10/31/2022

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