Individual
NANCY PAVLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 HARD RD, WEBSTER, NY 14580-8949
(585) 690-9918
Mailing address
875 HARD RD, WEBSTER, NY 14580-8949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
719988
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
311270
NY
Other
Enumeration date
04/13/2023
Last updated
07/03/2023
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