Healthcare Provider Details

I. General information

NPI: 1245701853
Provider Name (Legal Business Name): BRENDA LAING SCHREINER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2018
Last Update Date: 12/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 ABBOTT RD
BUFFALO NY
14220-2751
US

IV. Provider business mailing address

8701 JENNINGS RD
EDEN NY
14057-9592
US

V. Phone/Fax

Practice location:
  • Phone: 716-824-0726
  • Fax: 716-825-7685
Mailing address:
  • Phone: 716-992-4065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number399790
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: