Individual
MS. DANIELLE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 LA RIVIERE DR STE 140, BUFFALO, NY 14202-4306
(716) 893-1010
Mailing address
208 OAKMONT AVE, BUFFALO, NY 14215-3460
(716) 578-2168
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
566780-1
NY
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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