Healthcare Provider Details

I. General information

NPI: 1831284678
Provider Name (Legal Business Name): DONNA MARIE KARCZEWSKI CRNA, ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 01/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 MAPLE RD
WILLIAMSVILLE NY
14221-2930
US

IV. Provider business mailing address

170 MAPLE RD
WILLIAMSVILLE NY
14221-2930
US

V. Phone/Fax

Practice location:
  • Phone: 716-632-2020
  • Fax:
Mailing address:
  • Phone: 716-634-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberF430865
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number237466
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: