National Provider Identifier
Maureen C Ta, NP
Maureen C Ta, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-4496.
Profile Overview
- NPI
- 1427497247
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- June 14, 2013
- Last Updated
- February 14, 2022
Practice Location
- 1415 Portland Ave Ste 220
- Rochester, NY 14621-3039
Phone: (585) 922-4496
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1427497247
- Entity Type
- Individual
- Last Name
- Ta
- First Name
- Maureen
- Middle Name
- C
- Credential
- NP
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-4496
- Mailing Fax
- (585) 922-4442
- Practice Street Address
- 1415 Portland Ave Ste 220
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3039
- Practice Country
- US
- Practice Phone
- (585) 922-4496
- Practice Fax
- (585) 922-4442
- Enumeration Date
- June 14, 2013
- Last Updated
- February 14, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 14, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)