Healthcare Provider Details

I. General information

NPI: 1396763462
Provider Name (Legal Business Name): PATRICIA ROSE SEHLMEYER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 10/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 ROSA RD SUITE 382
SCHENECTADY NY
12308
US

IV. Provider business mailing address

124 ROSA ROAD SUITE 382
SCHENECTADY NY
12308
US

V. Phone/Fax

Practice location:
  • Phone: 518-386-3691
  • Fax: 518-386-3553
Mailing address:
  • Phone: 518-386-3691
  • Fax: 518-386-3553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number332204-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number332204
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: