Individual provider · Type 1 NPI
Tiffany Nicholson, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Buffalo, NY
NPI number
1093054975
Active
Practice location
1 John James Audubon Pkwy Ste 200
Buffalo, NY 14228-1145
Fax (585) 672-2527
Mailing address
108 Aldine St
Rochester, NY 14619-1204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308982 (NY) |
| Community Health Registered Nurse | 163WC1500X | 605019 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | 5025146 (NC) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1093054975
Tiffany Nicholson, NURSE PRACTITIONER's National Provider Identifier is 1093054975, issued on Feb 12, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Buffalo, NY. The record was last updated on Oct 20, 2026.