Individual
MRS. ASHLEY ITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, MS, RN, BSN
Contact information
Practice address
701 SENECA ST STE 646C, BUFFALO, NY 14210-1351
(716) 995-4450
Mailing address
24 NASSAU AVE, KENMORE, NY 14217-2118
(716) 440-8054
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306715-1
NY
Other
Enumeration date
01/02/2014
Last updated
04/20/2022
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