Provider Demographics
NPI:1710408018
Name:SEMRAU, NGAO NALUNGWE (NP)
Entity Type:Individual
Prefix:
First Name:NGAO
Middle Name:NALUNGWE
Last Name:SEMRAU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NGAO
Other - Middle Name:
Other - Last Name:NALUNGWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:11 GOLDCHAIN CT
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-2607
Mailing Address - Country:US
Mailing Address - Phone:585-629-0257
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE BOX 619-13
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-6366
Practice Address - Fax:585-276-1974
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341874363LF0000X
NYF341874-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily