Individual provider · Type 1 NPI
Johanna Rose Stump-Siembor, CRPNP
Pediatric Nurse Practitioner · Rochester, NY
NPI number
1144552183
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Fax (585) 275-3366
Mailing address
300 Crittenden Blvd Box Psych
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382220 (NY) |
| Pediatric Nurse Practitioner | 363LP0200X | R187586 (MD) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | F382220-1 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1144552183
Johanna Rose Stump-Siembor, CRPNP's National Provider Identifier is 1144552183, issued on Feb 2, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Jul 6, 2023.