Individual
WANDA R GREENAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-3000
(716) 898-5989
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-4110
(716) 898-5989
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F311280
NY
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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