Individual
AMBER MARIE KOEPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263
(716) 845-2300
(716) 845-3272
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F306791
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F306791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03116194
—
NY
Enumeration date
11/04/2008
Last updated
02/15/2021
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