Individual provider · Type 1 NPI

Mary Ellen Nichols, PNP

Pediatric Nurse Practitioner · Rochester, NY

NPI number 1649203555 Active

Practice location

1555 Long Pond Rd, Department Of Pediatrics
Rochester, NY 14626-4122

Fax (585) 368-4019

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice locations

  • 1200 Driving Park Ave, Newark, NY 14513-1090 · (315) 359-2660

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF381231 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1649203555

Mary Ellen Nichols, PNP's National Provider Identifier is 1649203555, issued on Jul 7, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Apr 15, 2019.