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Individual

IRENE S HAEFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CDE

Contact information

Practice address
2950 ELMWOOD AVE, KENMORE MERCY HOSPITAL, KENMORE, NE 14217-1304
(716) 447-6273
(716) 447-6052
Mailing address
2950 ELMWOOD AVE, KENMORE MERCY HOSPITAL, KENMORE, NE 14217-1304
(716) 447-6273
(716) 447-6052

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
369701-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000526864001
BCBS KENMORE MERCY
NY
01
000526864002
BCBS SISTERS HOSPITAL
NY
Enumeration date
01/02/2008
Last updated
01/02/2008
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