National Provider Identifier

Stephanie Amdur-Clark, NP

Stephanie Amdur-Clark, NP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-7520.

NPI 1851759872Rochester, NYPediatric Nurse Practitioner

Profile Overview

NPI
1851759872
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
February 04, 2016
Last Updated
July 03, 2023

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-2548

Phone: (585) 275-7520

Mailing Address

  • 151 Timber Cv Apt D
  • Webster, NY 14580-3100

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
  • Home Health Registered Nurse (163WH0200X)

Endpoints

  • samdurclark193656@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1851759872
Entity Type
Individual
Last Name
Amdur-Clark
First Name
Stephanie
Credential
NP
Mailing Street Address
151 Timber Cv Apt D
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-3100
Mailing Country
US
Mailing Phone
(716) 548-1258
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-2548
Practice Country
US
Practice Phone
(585) 275-7520
Enumeration Date
February 04, 2016
Last Updated
July 03, 2023
Deactivation Date
September 10, 2019
Reactivation Date
September 30, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X), Home Health Registered Nurse (163WH0200X)