Individual
JENNIFER PANGELINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(925) 566-4666
Mailing address
184 DEERHURST PARK BLVD, BUFFALO, NY 14217-2106
(925) 566-4666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
699465
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F311198-01
NY
Other
Enumeration date
06/23/2015
Last updated
02/23/2023
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