Individual
KAELA NISBET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
40 KETCHUM PL, BUFFALO, NY 14213-2661
(716) 698-2573
Mailing address
40 KETCHUM PL, BUFFALO, NY 14213-2661
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404113
NY
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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