Individual
DANA TAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3000
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 213-0935
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306979-1
NY
Other
Enumeration date
12/04/2014
Last updated
01/08/2015
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