Individual
JENNA MARIE WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-5209
Mailing address
4254 SHEVA LN, HAMBURG, NY 14075-1315
(716) 863-8701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311174-01
NY
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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