Individual provider · Type 1 NPI
Samantha Lee Mogavero, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Buffalo, NY
NPI number
1902360183
Active
Practice location
3020 Bailey Ave
Buffalo, NY 14215-2814
Mailing address
55 Dodge Rd
Getzville, NY 14068-1205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402565 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1902360183
Samantha Lee Mogavero, PMHNP's National Provider Identifier is 1902360183, issued on Jan 22, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Buffalo, NY. The record was last updated on Sep 5, 2024.