Provider Demographics
NPI:1215268909
Name:NAGLE, ELIZABETH M (PA)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:NAGLE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-244-3510
Mailing Address - Fax:585-244-3519
Practice Address - Street 1:360 LINDEN OAKS DR
Practice Address - Street 2:SUITE 220
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625
Practice Address - Country:US
Practice Address - Phone:585-244-3510
Practice Address - Fax:585-244-3517
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2022-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY013823363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical