Individual
MS. HEIDI ANN NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F338590
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421038
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3716149
—
NY
Enumeration date
06/27/2013
Last updated
10/28/2015
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