Individual provider · Type 1 NPI

Tina Dubeck

Nurse Practitioner · Buffalo, NY

NPI number 1124597521 Active

Practice location

462 Grider St
Buffalo, NY 14215-3021

Fax (716) 898-5193

Mailing address

PO Box 708760
Sandy, UT 84070-8760

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X657297 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124597521

Tina Dubeck's National Provider Identifier is 1124597521, issued on Nov 15, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Buffalo, NY. The record was last updated on Nov 15, 2018.