Individual
MRS. DERRICE ANDREA HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
124 GARDENWOOD LN, BUFFALO, NY 14223-1150
(716) 877-0076
Mailing address
124 GARDENWOOD LN, BUFFALO, NY 14223-1150
(716) 877-0076
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340759-1
NY
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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