National Provider Identifier

Mallory Scopano, RN, BSN

Mallory Scopano, RN, BSN is listed in the NPPES registry with a primary specialty of Emergency Registered Nurse in Brockport, NY and a listed phone number of (585) 758-1010.

NPI 1881382273Brockport, NYEmergency Registered Nurse

Profile Overview

NPI
1881382273
Provider Type
Individual
Primary Specialty
Emergency Registered Nurse
Enumeration Date
April 25, 2023
Last Updated
April 25, 2023

Practice Location

  • 156 West Ave
  • Brockport, NY 14420-1229

Phone: (585) 758-1010

Specialties

  • Emergency Registered Nurse (163WE0003X)
Full Record
NPI
1881382273
Entity Type
Individual
Last Name
Scopano
First Name
Mallory
Credential
RN, BSN
Mailing Street Address
156 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1229
Mailing Country
US
Practice Street Address
156 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1229
Practice Country
US
Practice Phone
(585) 758-1010
Enumeration Date
April 25, 2023
Last Updated
April 25, 2023
Sex
Female
Sole Proprietor
No
Certification Date
April 25, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Registered Nurse (163WE0003X)