Individual
MRS. KRISTA MOLISON CLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
85 HIGH ST, BUFFALO, BUFFALO, NY 14203-1149
(716) 630-1000
(716) 630-1054
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305074
NY
363LF0000X
Family Nurse Practitioner
426857
NY
Other
Enumeration date
02/20/2009
Last updated
12/11/2019
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