Individual
AWTUMN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
414 S DIVISION ST, BUFFALO, NY 14204-1710
(716) 842-3002
(716) 842-3006
Mailing address
414 S DIVISION ST, BUFFALO, NY 14204-1710
(716) 842-3004
(716) 842-3006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
351177
NY
Other
Enumeration date
03/30/2023
Last updated
10/17/2023
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