Individual
MICAELA LUCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
297 SPINDRIFT DR, WILLIAMSVILLE, NY 14221-7894
(716) 831-2600
(716) 831-2601
Mailing address
297 SPINDRIFT DR, WILLIAMSVILLE, NY 14221-7894
(716) 831-2600
(716) 831-2601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
673952
NY
363L00000X
Nurse Practitioner
Primary
340349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04404519
—
NY
Enumeration date
11/06/2015
Last updated
11/22/2021
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