Individual
SHAYNA PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, RN
Contact information
Practice address
20 RICH ST, BUFFALO, NY 14211-3020
(716) 895-7715
Mailing address
76 W HUMBOLDT PKWY, BUFFALO, NY 14214-2605
(716) 835-9745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
707100
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405810-01
NY
Other
Enumeration date
02/06/2020
Last updated
01/05/2026
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