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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE AMDUR-CLARK, NP

Deactivated

STEPHANIE AMDUR-CLARK, NP is a Pediatric Nurse Practitioner healthcare provider located in ROCHESTER, New York. NPI 1851759872 is deactivated in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · ROCHESTER, NY

This NPI has been deactivated. The record was deactivated on September 10, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1851759872
Provider Type
Individual
Gender
Female
NPI Issued
Feb 4, 2016 (3.5972602739726 yrs)
Last Updated
Jul 3, 2023
Deactivated
Sep 10, 2019
Licenses
RN2299120 (MA)
383057 (NY)

Practice Information

Address
601 ELMWOOD AVE
ROCHESTER, NY, 146422548
Browse NY providers · Browse ZIP 14642
Phone
5852757520
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in ROCHESTER, NY

Name Credential NPI
MRS. KATHLEEN ROSE PARKER RN, PNP-BC 1316944770
MRS. BESS COOKE LEWIS PNP 1528022076
MICHELLE D SLYMON NP 1942265681
JUDITH SIMMONS NEUDERFER NP 1083652200
CHERYL KLINE NP 1457390726
JOANNE L FIORAVANTI NP 1306889308
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.