National Provider Identifier
Mary Ellen Nichols, PNP
Mary Ellen Nichols, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rochester, NY and a listed phone number of (585) 368-4012.
Profile Overview
- NPI
- 1649203555
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- July 07, 2006
- Last Updated
- April 15, 2019
Practice Location
- 1555 Long Pond RD
- Department Of Pediatrics
- Rochester, NY 14626-4122
Phone: (585) 368-4012
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1649203555
- Entity Type
- Individual
- Last Name
- Nichols
- First Name
- Mary Ellen
- Credential
- PNP
- Provider Other Last Name
- Capece
- Provider Other First Name
- Mary Ellen
- Provider Other Credential Text
- PNP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-0553
- Practice Street Address
- 1555 Long Pond RD
- Practice Address Line 2
- Department Of Pediatrics
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 368-4012
- Practice Fax
- (585) 368-4019
- Enumeration Date
- July 07, 2006
- Last Updated
- April 15, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- 02573513 (NY)