MEDICARE: NATALIE ANN PASSMORE ANP

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	363LA2200X	Adult Health Nurse Practitioner	F3039321	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	:	1922064393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE ANN PASSMORE ANP

Provider Business Mailing Address
First Line	:	3041 ORCHARD PARK RD
Second Line	:	D
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1208
Country	:	US
Telephone Number	:	716-671-8393
Fax Number	:	716-671-8398

Provider Business Practice Location Address
First Line	:	3041 ORCHARD PARK RD
Second Line	:	D
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1208
Country	:	US
Telephone Number	:	716-671-8393
Fax Number	:	716-671-8398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	09/16/2015

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