Individual
MARYANNE STAHLECKER-ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-8762
(585) 273-1288
Mailing address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-2901
(585) 273-1288
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
302821
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F302821-1
NY
Other
Enumeration date
08/24/2006
Last updated
07/05/2023
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