Provider Demographics
NPI:1417094525
Name:FOLARON, MAURA (FNP)
Entity Type:Individual
Prefix:MS
First Name:MAURA
Middle Name:
Last Name:FOLARON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11547 WARNER HILL RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH WALES
Mailing Address - State:NY
Mailing Address - Zip Code:14139-9506
Mailing Address - Country:US
Mailing Address - Phone:716-652-3522
Mailing Address - Fax:
Practice Address - Street 1:100 CORPORATE WOODS
Practice Address - Street 2:SUITE 350
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1467
Practice Address - Country:US
Practice Address - Phone:866-352-2356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334641-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily