Individual
MRS. SUSAN ADRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
11 KINGSWAYE DR, WILLIAMSVILLE, NY 14221-1703
(716) 870-7144
Mailing address
11 KINGSWAYE DR, WILLIAMSVILLE, NY 14221-1703
(716) 870-7144
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381180
NY
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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