MISS RANDI NICOLE BISBANO MS RN PMHNP-BC NPI 1396166575

NPI Information

NPI: 1396166575
Provider Name: MISS RANDI NICOLE BISBANO, MS, RN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
339 EAST AVE STE 303
ROCHESTER, NY
ZIP 14604
Phone: (585) 434-2633
Get Directions

MISS Randi Nicole Bisbano, MS, RN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Rochester, NY. MISS Randi Nicole Bisbano, MS, RN, PMHNP-BC NPI is 1396166575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

339 EAST AVE STE 303
ROCHESTER, NY
ZIP 14604-615
Phone: (585) 434-2633
Fax: (585) 434-2635

The NPI 1396166575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/14/2013 and was last updated on 3/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	602014	NEW YORK	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN201885	ARIZONA	No
3	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	AP8980	ARIZONA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	401671	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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