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NPI Code Detail

MEDICARE: BARBARA PEYSER MOHRMANN PNP

MEDICARE: BARBARA PEYSER MOHRMANN PNP
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
1363LP0200XPediatric Nurse PractitionerF380443-1NY

General Provider Information

NPI Number : 1558451500
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA PEYSER MOHRMANN PNP
Provider Business Mailing Address
First Line : 174 RIDGEMONT DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-3408
Country : US
Telephone Number : 585-225-1525
Fax Number :
Provider Business Practice Location Address
First Line : 485 CLINTON AVE N
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-1817
Country : US
Telephone Number : 585-324-7610
Fax Number : 585-324-7620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 07/08/2007

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