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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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