National Provider Identifier

Nr Wholeness Health

Nr Wholeness Health is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 419-7019.

NPI 1528736311Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1528736311
Provider Type
Organization
Primary Specialty
Family Nurse Practitioner
Enumeration Date
September 06, 2021
Last Updated
September 06, 2021

Practice Location

  • 10 Cady St
  • Rochester, NY 14608-2322

Phone: (585) 419-7019

Mailing Address

  • 2604 Elmwood Ave Ste 299
  • Rochester, NY 14618-2213

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1528736311
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Nr Wholeness Health
Mailing Street Address
2604 Elmwood Ave Ste 299
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-2213
Mailing Country
US
Mailing Phone
(585) 419-7019
Mailing Fax
(585) 627-0792
Practice Street Address
10 Cady St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2322
Practice Country
US
Practice Phone
(585) 419-7019
Practice Fax
(585) 627-0792
Enumeration Date
September 06, 2021
Last Updated
September 06, 2021
Authorized Official Last Name
Davis
Authorized Official First Name
Naomi
Authorized Official Middle Name
Douglas
Authorized Official Title
Partner
Authorized Official Phone
(585) 503-2773
Organization Subpart
No
Authorized Official Credential Text
LCSW
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
September 05, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Clinical Social Worker (1041C0700X)