Individual
MRS. AMANDA MARIE PAGANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
601 ELMWOOD AVE BOX 667, ROCHESTER, NY 14642-0001
(585) 275-2100
(585) 276-1128
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 276-4450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342073-1
NY
363LP0200X
Pediatric Nurse Practitioner
342073
NY
Other
Enumeration date
08/12/2017
Last updated
07/22/2024
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