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Individual

SHIRLEY A RAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2180 SOUTH CLINTON AVE, ROCHESTER, NY 14642-0001
(585) 276-3616
(585) 473-1691
Mailing address
601 ELMWOOD AVE, BOX 670, ROCHESTER, NY 14642-0001
(585) 276-3616
(585) 473-1691

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
403112
NY
363L00000X
Nurse Practitioner
Primary
333350
NY
363LF0000X
Family Nurse Practitioner
333350
NY
363LF0000X
Family Nurse Practitioner
F333350
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02809378
NY
Enumeration date
07/30/2006
Last updated
07/05/2023
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