Individual
MRS. HEATHER A O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1800 MAPLE RD, WILLIAMSVILLE, NY 14221-2749
(716) 636-5437
Mailing address
90 SOUTHRIDGE DR, WEST SENECA, NY 14224-4443
(716) 341-7860
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383317
NY
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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