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Individual

MRS. NICOLE E KNAPP MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
25 HOPKINS RD, WILLIAMSVILLE, NY 14221-4641
(716) 632-8050
(716) 632-2297
Mailing address
25 HOPKINS RD, WILLIAMSVILLE, NY 14221-4641
(716) 632-8050
(716) 632-2297

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381669
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03281812
NY
Enumeration date
02/12/2007
Last updated
01/31/2013
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