Healthcare Provider Details

I. General information

NPI: 1821046731
Provider Name (Legal Business Name): BARBARA G NEPHEW RD/CDN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CATTARAUGUS INDIAN RESERVATION HEALTH CENTER 36 THOMAS INDIAN SCHOOL DR
IRVING NY
14081
US

IV. Provider business mailing address

CATTARAUGUS INDIAN RESERVATION HEALTH CENTER 36 THOMAS INDIAN SCHOOL DR
IRVING NY
14081
US

V. Phone/Fax

Practice location:
  • Phone: 716-532-5582
  • Fax: 716-532-1428
Mailing address:
  • Phone: 716-532-5582
  • Fax: 716-532-1428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number003579
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number003579
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: