Individual
MAURA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
890 WESTFALL RD STE B, ROCHESTER, NY 14618-2610
(585) 703-7050
Mailing address
340 POND VIEW HTS, ROCHESTER, NY 14612-1312
(585) 880-4584
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406008
NY
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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