Healthcare Provider Details

I. General information

NPI: 1265023360
Provider Name (Legal Business Name): SONYA ANN TRAMP PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 03/04/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 SPRUCE STREET
NORTH COLLINS NY
14111
US

IV. Provider business mailing address

1412 SWEET HOME RD STE 3-5
AMHERST NY
14228-2795
US

V. Phone/Fax

Practice location:
  • Phone: 716-337-3706
  • Fax: 716-337-2723
Mailing address:
  • Phone: 716-589-1411
  • Fax: 716-276-3051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number657908
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number403365
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: