Doctor Name: | DR. ZENDI MOLDENHAUER |
NPI Number: | 1528024791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, RN, CPNP/NPP |
License Number: | F3811521 |
Business Practice Address: | 61 N Main St Honeoye Falls, NY - 144721067 |
Business Phone Number: | 5857480943 |
Business Fax Number: | 5856244415 |
Mailing Address: | 1287 W Bloomfield Rd, HONEOYE FALLS |
State: | NY |
Postal Code: | 144729202 |
Phone Number: | 5855821312 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F3811521 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |