Provider Demographics
NPI:1659469054
Name:DEHMLER, NANCY LEAVITT (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LEAVITT
Last Name:DEHMLER
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 1:124 NORMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1154
Mailing Address - Country:US
Mailing Address - Phone:585-324-3415
Mailing Address - Fax:585-324-3435
Practice Address - Street 1:124 NORMAN RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1154
Practice Address - Country:US
Practice Address - Phone:585-324-3415
Practice Address - Fax:585-324-3435
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily