Individual provider · Type 1 NPI

Latasha Gardener, NURSE PRACTITIONER

Family Nurse Practitioner · Buffalo, NY

NPI number 1104349117 Active

Practice location

564 Niagara St Bldg 2
Buffalo, NY 14201-1108

Mailing address

3871 Harlem Rd
Buffalo, NY 14215-1946

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X341916 (NY)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

Other family nurse practitioner providers in Buffalo

See all in Buffalo →

About NPI 1104349117

Latasha Gardener, NURSE PRACTITIONER's National Provider Identifier is 1104349117, issued on Jul 21, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Buffalo, NY. The record was last updated on Jan 18, 2024.