Provider Demographics
NPI:1083868004
Name:NOFI, MAUREEN F (NP)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:F
Last Name:NOFI
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Gender:F
Credentials:NP
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Mailing Address - Street 1:76 SOUTHAVEN AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-3745
Mailing Address - Country:US
Mailing Address - Phone:631-447-8860
Mailing Address - Fax:631-447-8862
Practice Address - Street 1:76 SOUTHAVEN AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-3745
Practice Address - Country:US
Practice Address - Phone:631-447-8860
Practice Address - Fax:631-447-8862
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2014-04-03
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Provider Licenses
StateLicense IDTaxonomies
NY304730363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health