Individual
TANJANIKA BUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 FRANKLIN AVE, DUNKIRK, NY 14048-2804
(716) 363-3500
Mailing address
2 ACADEMY ST RM 201, MAYVILLE, NY 14757-1050
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404212-01
NY
Other
Enumeration date
10/07/2022
Last updated
03/06/2024
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