Individual
MARY L SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3495 BAILEY AVE, VA WESTERN NY HEALTH CARE SYSTEM, BUFFALO, NY 14215
(716) 834-9200
(716) 862-8632
Mailing address
375 DENROSE DR, AMHERST, NY 14228
(716) 691-3312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332235-1
NY
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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