Natalia Semyenova I
Individual provider Active NPI Adult Health Nurse Practitioner · Stockton, NY
NPI 1982010740 · NPPES record last updated Jul 1, 2014
Key facts
- NPI
- 1982010740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F306776-1 (NY)
- Practice address
- 5251 Barber Rd
Stockton, NY 14784-9738 - Phone
- (716) 595-3277
- NPI assigned
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306776-1 | NY | Yes |
Addresses
Primary practice location
5251 Barber Rd
Stockton, NY 14784-9738
Mailing address
5251 Barber Rd
Stockton, NY 14784-9738
Phone (716) 595-3277
Other names
- Mrs. Natalia Igorevna Semyenova I
Other providers in Stockton, NY
All providers in Stockton, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.