Individual
JOHANNA ROSE STUMP-SIEMBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPNP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2986
(585) 275-3366
Mailing address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-2986
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
382220
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382220-1
NY
363LP0200X
Pediatric Nurse Practitioner
R187586
MD
Other
Enumeration date
02/02/2010
Last updated
07/06/2023
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