MEDICARE: NANCY R ARMFIELD CMP

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	405300000X	Prevention Professional	26AR1476952	NY
2	172V00000X	Community Health Worker	26AR1476952	NY

General Provider Information

NPI Number	:	1518731959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY R ARMFIELD CMP

Provider Business Mailing Address
First Line	:	320 GREECE RIDGE CENTER DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14626-2819
Country	:	US
Telephone Number	:	585-286-7715
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 GREECE RIDGE CENTER DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14626-2819
Country	:	US
Telephone Number	:	585-286-7715
Fax Number	:

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

Provider Enumeration Date	:	11/07/2023
Last Update Date	:	11/07/2023

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