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Individual

AARON E PACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
462 GRIDER ST, 12TH FLOOR / APOGEE, BUFFALO, NY 14215
(716) 961-6995
(716) 898-5193
Mailing address
8117 PRESTON RD, STE 800, DALLAS, TX 75225-6332
(214) 666-9608
(214) 764-5754

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
430909
NY
363LA2100X
Acute Care Nurse Practitioner
430909
NY
363LA2100X
Acute Care Nurse Practitioner
753964
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TXB147237
TX
Enumeration date
11/10/2011
Last updated
09/19/2022
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