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Individual

NIKKI JOWAN BURGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P

Contact information

Practice address
701 SENECA ST STE 646C, BUFFALO, NY 14210-1351
(716) 995-4450
Mailing address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 603-9383

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305583
NY

Other

Enumeration date
10/30/2010
Last updated
10/24/2019
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