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Latasha Gardener, NURSEPRACTITIONER
Family Nurse Practitioner in Buffalo, New York
NPI 1104349117

Latasha Gardener is a Family Nurse Practitioner based in Buffalo, NY and is specialized in Family. Latasha Gardener practices in Buffalo, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Latasha Gardener is 1104349117 and holds a License No. 341916 (New York).

The current practice location address for Latasha Gardener is 564 Niagara St Bldg 2, Buffalo, NY and can be reached out via phone at 716-882-0366.

Location: 564 Niagara St Bldg 2, Buffalo, NY, 14215-1946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104349117
Provider Name
Latasha Gardener
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
564 Niagara St Bldg 2, Buffalo, NY, 14215-1946
Phone Number
716-882-0366
Fax Number
Provider Enumeration Date
07/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
564 Niagara St Bldg 2
City
Buffalo
State
New York
Zip
14201-1108
Phone Number
716-882-0366
Fax Number
person
Provider Business Mailing Address Details
Address
564 Niagara St Bldg 2
City
Buffalo
State
New York
Zip
14201-1108
Phone Number
716-882-0366
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
341916 (New York)
Definition
Definition to come...
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