Provider Demographics
NPI:1558451500
Name:MOHRMANN, BARBARA PEYSER (PNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:PEYSER
Last Name:MOHRMANN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 RIDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3408
Mailing Address - Country:US
Mailing Address - Phone:585-225-1525
Mailing Address - Fax:
Practice Address - Street 1:485 CLINTON AVE N
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1817
Practice Address - Country:US
Practice Address - Phone:585-324-7610
Practice Address - Fax:585-324-7620
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380443-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics