Individual
MRS. MARY ANN KREBBEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,NP
Contact information
Practice address
40 OFFICE PARK WAY, PITTSFORD, NY 14534-1738
(585) 329-9336
Mailing address
208 SHIREWOOD DR, ROCHESTER, NY 14625-2135
(585) 329-9336
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400708-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400708-1
NURSE PRACTIONER LICENSE
NY
Enumeration date
11/09/2006
Last updated
07/08/2007
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