Individual
MS. ANNE MARIE VERONICA BANTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 HARLEM RD, WEST SENECA, NY 14224-1151
(716) 332-2121
(716) 332-2122
Mailing address
600 HARLEM RD, WEST SENECA, NY 14224-1151
(716) 332-2121
(716) 332-2122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338224
NY
Other
Enumeration date
11/21/2013
Last updated
06/17/2015
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