Individual
JOANNE R DENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7000
(716) 878-7626
Mailing address
8476 SISSON HWY, EDEN, NY 14057-9589
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
342702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560493001
COMMUNITY BLUE
NY
01
—
9512229
IHA
NY
Enumeration date
12/29/2005
Last updated
07/08/2007
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