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Individual

NANCY WOELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3379 CHILI AVE, SUITE 100, ROCHESTER, NY 14624-5325
(585) 889-0750
(585) 889-0759
Mailing address
3379 CHILI AVE, SUITE 100, ROCHESTER, NY 14624-5325
(585) 889-0750
(585) 889-0759

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004104
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02108689
NY
Enumeration date
06/27/2006
Last updated
04/28/2021
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