Individual
MRS. NANCYANZER JEAN PANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5509 E HENRIETTA RD, RUSH, NY 14543-9755
(585) 359-5460
(585) 359-5463
Mailing address
5509 E HENRIETTA RD, RUSH, NY 14543-9755
(585) 359-5460
(585) 359-5463
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
288972-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01497492
—
NY
Enumeration date
11/07/2011
Last updated
11/07/2011
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