Individual
MARY VESTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-1886
(716) 845-2300
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
613201-1
NY
363L00000X
Nurse Practitioner
Primary
F351103-01
NY
Other
Enumeration date
07/17/2019
Last updated
04/04/2023
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