Individual
CHRISTINE NELSON-TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0050
(716) 323-0296
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0050
(716) 323-0296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
398785
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027169201
UNIVERA
NY
01
—
000560358001
BC/BS
NY
01
—
0014387840001
PA MEDICAID
NY
05
—
01917720
—
NY
01
—
040426001548
FIDELIS
NY
01
—
3905807
IHA
NY
Enumeration date
11/02/2006
Last updated
03/06/2023
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