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NPI Code Detail

MEDICARE: PAMELA R JURICH-WRIGHT CNM

MEDICARE: PAMELA R JURICH-WRIGHT CNM
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
1367A00000XAdvanced Practice MidwifeF000676NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609801166
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA R JURICH-WRIGHT CNM
Provider Business Mailing Address
First Line : 905 CULVER RD
Second Line : STE 2B
City : ROCHESTER
State : NY
Zip : 14609-7115
Country : US
Telephone Number : 585-275-7892
Fax Number : 585-482-1666
Provider Business Practice Location Address
First Line : 905 CULVER RD
Second Line : STE 2B
City : ROCHESTER
State : NY
Zip : 14609-7115
Country : US
Telephone Number : 585-275-7892
Fax Number : 585-482-1666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 08/26/2011

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Directions to “ PAMELA R JURICH-WRIGHT CNM” Practice Location

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