Individual
JOAN BEATRICE TUDINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
292 MAIN ST, EAST AURORA, NY 14052-1650
(716) 652-1560
(716) 652-0018
Mailing address
292 MAIN STREET, EAST AURORA, NY 14052-1560
(716) 652-1560
(716) 652-0018
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
236991
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F-301348-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00535829001
BCBS WNY
NY
05
—
03605341
—
NY
01
—
1215927751
UNIVERA
NY
01
—
9512618
IHA
NY
Enumeration date
10/26/2005
Last updated
06/02/2014
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