Individual
MS. ALIVIA RAE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220
(716) 826-7000
Mailing address
450 DICK RD., APT A3, DEPEW, NY 14043
(716) 253-4723
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
703336-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F347836-01
NY
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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