Organization
MOBILE NURSE PRACTITIONERS
Active
Other names
HOMELINK MEDICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA KEITH-MCCAIN ANP,GNP (PRESIDENT)
(716) 634-2671
Entity
Organization
Contact information
Practice address
5574 MAIN ST, WILLIAMSVILLE, NY 14221-5452
(716) 634-2671
(716) 634-2673
Mailing address
1102 NETHERTON CT, EAST AMHERST, NY 14051-2454
(716) 634-2671
(716) 634-2673
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01816128
—
NY
01
—
F340101
LICENSE
NY
Enumeration date
07/02/2006
Last updated
08/22/2020
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