Individual
QIANA WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
56 LAYTON AVE, AMHERST, NY 14226-4227
(716) 866-8485
Mailing address
56 LAYTON AVE, AMHERST, NY 14226-4227
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
346080
NY
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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