Individual
MOLLI MEGAN OLDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263
(716) 845-2300
(716) 845-3423
Mailing address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3423
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334348
NY
363LF0000X
Family Nurse Practitioner
F334348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027033301
UNIVERA
—
01
—
000560906001
BLUE CROSS
NY
01
—
000560906002
BLUE CROSS
NY
05
—
02603327
—
NY
01
—
156048BF
PREFERRED CARE
—
01
—
9512748
INDEPENDENT HEALTH
—
Enumeration date
03/01/2006
Last updated
02/02/2021
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