Individual
BRYANA BAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
165 W HAZELTINE AVE, KENMORE, NY 14217-2621
(814) 331-2955
Mailing address
165 W HAZELTINE AVE, KENMORE, NY 14217-2621
(814) 331-2955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95024405
CA
363L00000X
Nurse Practitioner
Primary
F432588
NY
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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