Individual
JANINE WANAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203
(716) 859-5600
Mailing address
459 WASHINGTON HWY, SNYDER, NY 14226-4648
(716) 471-4988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
705381
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308703
NY
Other
Enumeration date
05/31/2018
Last updated
06/04/2018
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