NPI 1851759872 · live from the CMS NPI Registry
Stephanie Amdur-Clark, NP
Nurse Practitioner, Pediatrics in Rochester, NY. National Provider Identifier 1851759872, active.
NPI record
| NPI | 1851759872 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 601 Elmwood Ave, Rochester, NY 14642 |
| Practice phone | 585-275-7520 |
| Mailing address | 151 Timber Cv Apt D, Webster, NY 14580 |
| Enumerated | February 4, 2016 |
| Last updated | July 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Home Health | 163WH0200X | RN2299120 (MA) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 383057 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.