Individual
ERIKA BROOKE WAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
139 PROFESSIONAL PKWY, LOCKPORT, NY 14094-5369
(716) 433-6711
Mailing address
PO BOX 112, SPRING BROOK, NY 14140-0112
(585) 969-8311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338739
NY
Other
Enumeration date
07/24/2014
Last updated
03/18/2016
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