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Individual

MARCIA KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RN, CS, ANP-BC

Contact information

Practice address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Mailing address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
300644
NY
363L00000X
Nurse Practitioner
Primary
F300644
NY
363LA2200X
Adult Health Nurse Practitioner
F300644
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000918192001
HEALTHNOW
01
918192001
COMMUNITY BLUE
01
NP0356
PREFERRED CARE
01
PO19300644
BLUE CHOICE
Enumeration date
10/19/2006
Last updated
05/15/2023
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