person
Missy Gray Dishman, NP
Adult Health Nurse Practitioner in Orchard Park, New York
NPI 1598223984

Missy Gray Dishman is an Adult Health Nurse Practitioner based in Orchard Park, NY and is specialized in Adult Health. Missy Gray Dishman practices in Orchard Park, NY and has the professional credentials of NP. The NPI Number for Missy Gray Dishman is 1598223984 and holds a License No. F309096 (New York).

The current practice location address for Missy Gray Dishman is 3041 Orchard Park Rd Ste C, Orchard Park, NY and can be reached out via phone at 716-674-3104 and via fax at 716-674-0666. You can also correspond with Missy Gray Dishman through the mailing address at 3041 ORCHARD PARK RD STE C, ORCHARD PARK, NY - 14127-1238 (mailing address contact number: 716-674-3104).

Location: 3041 Orchard Park Rd Ste C, Orchard Park, NY, 14127-1238
person
Provider Profile Details
NPI Number
1598223984
Provider Name
Missy Gray Dishman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3041 Orchard Park Rd Ste C, Orchard Park, NY, 14127-1238
Phone Number
716-674-3104
Fax Number
716-674-0666
Provider Enumeration Date
03/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05536787 05 NY
309096 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
3041 Orchard Park Rd Ste C
City
State
Zip
14127-1238
Phone Number
716-674-3104
Fax Number
716-674-0666
person
Provider Business Mailing Address Details
Address
3041 Orchard Park Rd Ste C
City
State
Zip
14127-1238
Phone Number
716-674-3104
Fax Number
716-674-0666
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F309096 (New York)
Definition
Definition to come...
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