Individual provider · Type 1 NPI
Dana Tague, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Buffalo, NY
NPI number
1376940429
Active
Practice location
462 Grider St
Buffalo, NY 14215-3021
Mailing address
908 Niagara Falls Blvd, Suite 208
North Tonawanda, NY 14120-2019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F306979-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1376940429
Dana Tague, NURSE PRACTITIONER's National Provider Identifier is 1376940429, issued on Dec 4, 2014. 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 Jan 8, 2015.