Individual
CARRIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
500 SENECA ST STE 610, BUFFALO, NY 14204-1963
(716) 881-2800
Mailing address
500 SENECA ST STE 610, BUFFALO, NY 14204-1963
(716) 881-2800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340946-01
NY
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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