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Michelle L Dettman, RN
Psychiatric/Mental Health Registered Nurse in Buffalo, New York
NPI 1598309700

Michelle L Dettman is a Psychiatric/Mental Health Registered Nurse based in Buffalo, NY and is specialized in Psychiatric/Mental Health. Michelle L Dettman practices in Buffalo, NY and has the professional credentials of RN. The NPI Number for Michelle L Dettman is 1598309700 and holds a License No. 750549 (New York).

The current practice location address for Michelle L Dettman is 430 Niagara St, Buffalo, NY and can be reached out via phone at 716-566-1870 and via fax at 716-551-0891.

Location: 430 Niagara St, Buffalo, NY, 14201-1886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598309700
Provider Name
Michelle L Dettman
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
430 Niagara St, Buffalo, NY, 14201-1886
Phone Number
716-566-1870
Fax Number
716-551-0891
Provider Enumeration Date
10/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
750549 05 NY
institution
Provider Business Practice Location Address Details
Address
430 Niagara St
City
Buffalo
State
New York
Zip
14201-1886
Phone Number
716-566-1870
Fax Number
716-551-0891
person
Provider Business Mailing Address Details
Address
430 Niagara St
City
Buffalo
State
New York
Zip
14201-1886
Phone Number
716-566-1870
Fax Number
716-551-0891
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
750549 (New York)
Definition
Definition to come...
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