National Provider Identifier
Shirley S Mandeville, FNP
Shirley S Mandeville, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 276-3332.
Source: public NPPES record, last updated July 18, 2011. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1538113816
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- May 20, 2006
- Last Updated
- July 18, 2011
Practice Location
- 601 Elmwood Ave
- Box Surg
- Rochester, NY 14642-1413
Phone: (585) 276-3332
Mailing Address
- 4879 River RD
- Leicester, NY 14481-9621
Specialties
- Family Nurse Practitioner (363LF0000X)
Browse Similar Providers
See more providers in the Nurse Practitioner classification in Rochester, NY.
Biography
The NPPES record for Shirley S Mandeville, FNP lists Family Nurse Practitioner as the primary taxonomy and Rochester, NY as the practice location.
Full Record
- NPI
- 1538113816
- Entity Type
- Individual
- Last Name
- Mandeville
- First Name
- Shirley
- Middle Name
- S
- Credential
- FNP
- Mailing Street Address
- 4879 River RD
- Mailing City
- Leicester
- Mailing State
- NY
- Mailing ZIP Code
- 14481-9621
- Mailing Country
- US
- Mailing Phone
- (585) 382-3804
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box Surg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-1413
- Practice Country
- US
- Practice Phone
- (585) 276-3332
- Enumeration Date
- May 20, 2006
- Last Updated
- July 18, 2011
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 9512361 (NY, Independent Health), 01791166 (NY), P019331695 (NY, Roch Bs)