Individual
MEGAN KIELMA HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 932-7094
Mailing address
122 WHITFIELD AVE, BUFFALO, NY 14220-1946
(716) 912-8903
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311208
NY
Other
Enumeration date
03/03/2023
Last updated
03/07/2023
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