National Provider Identifier
Tanna Nicole Mace, APRN, BC, FNP
Tanna Nicole Mace, APRN, BC, 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) 305-8059.
Profile Overview
- NPI
- 1992819114
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 17, 2006
- Last Updated
- March 07, 2023
Practice Location
- 800 Carter St
- Rochester, NY 14621-2604
Phone: (585) 305-8059
Mailing Address
- PO Box 26
- Webster, NY 14580-0026
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1992819114
- Entity Type
- Individual
- Last Name
- Mace
- First Name
- Tanna
- Middle Name
- Nicole
- Name Prefix
- Mrs.
- Credential
- APRN, BC, FNP
- Provider Other Last Name
- Traub
- Provider Other First Name
- Tanna
- Provider Other Middle Name
- Nicole
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- APRN, BC, FNP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- PO Box 26
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-0026
- Mailing Country
- US
- Mailing Phone
- (585) 305-8059
- Practice Street Address
- 800 Carter St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2604
- Practice Country
- US
- Practice Phone
- (585) 305-8059
- Enumeration Date
- August 17, 2006
- Last Updated
- March 07, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- F333530 (NY, FNP License), 507810-1 (NY, RN License), 0366409-22 (NY, Ancc Certification)