Organization · Type 2 NPI
Mobile Nurse Practitioners
Gerontology Nurse Practitioner · Williamsville, NY
NPI number
1740219633
Active
Practice location
5574 Main St
Williamsville, NY 14221-5452
Fax (716) 634-2673
Mailing address
1102 Netherton Ct
East Amherst, NY 14051-2454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | F340101 (NY) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1740219633
Mobile Nurse Practitioners's National Provider Identifier is 1740219633, issued on Jul 2, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Williamsville, NY. The record was last updated on Aug 22, 2020.