Provider Demographics
NPI:1427112283
Name:BRINKWART, NANCY EILEEN (NP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:EILEEN
Last Name:BRINKWART
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:16 EARL DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-4238
Mailing Address - Country:US
Mailing Address - Phone:585-247-5508
Mailing Address - Fax:585-395-2559
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 619
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-6001
Practice Address - Fax:585-275-3669
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily