Individual
MRS. NICOLE MARIE HASELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-6283
(716) 898-5382
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-6283
(716) 898-5382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
311165
NY
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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