Provider Demographics
NPI:1538393632
Name:MCMASTER, JOANNE ELAINE (APRN-BC, PMH-NP)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:ELAINE
Last Name:MCMASTER
Suffix:
Gender:F
Credentials:APRN-BC, PMH-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 ALEXANDER ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1920
Mailing Address - Country:US
Mailing Address - Phone:585-727-7306
Mailing Address - Fax:
Practice Address - Street 1:277 ALEXANDER ST
Practice Address - Street 2:SUITE 304
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1920
Practice Address - Country:US
Practice Address - Phone:585-727-7306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400642-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health