Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | COA.12543-NP | OH |
N | 363LA2200X | Nurse Practitioner - Adult Health | 12543 | OH |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 307167 | NY |
N | 363LW0102X | Nurse Practitioner - Women's Health | COA.12543-NP | OH |
NPI | 1023398401 |
---|---|
Provider Name | Amanda Jane Guarniere |
First Address | Rochester, NY 14642-8655 |
Second Address | Rochester, NY 14642-8655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2011 |
Last Update Date | 10/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0065134 | (05) | OH |
04087674 | (05) | NY |