Healthcare Provider Details

I. General information

NPI: 1417041427
Provider Name (Legal Business Name): LORRAINE ELIZABETH SCHILD N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/05/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVENUE
ROCHESTER NY
14642
US

IV. Provider business mailing address

71 BEVERLY STREET
ROCHESTER NY
14610
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-2222
  • Fax:
Mailing address:
  • Phone: 585-244-1161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number301503
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberF301503-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: