Individual
MRS. JACQUELYN MIRBA DANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
Mailing address
PO BOX 4806, QUEENSBURY, NY 12804-0806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
341973
NY
Other
Enumeration date
07/05/2017
Last updated
01/06/2021
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