Healthcare Provider Details

I. General information

NPI: 1912462839
Provider Name (Legal Business Name): SHERRY ANN VEROSTKO-SLAZAK, NURSE PRACTITIONER IN ADULT HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 03/23/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8207 MAIN ST STE 7-8
WILLIAMSVILLE NY
14221-6060
US

IV. Provider business mailing address

8207 MAIN ST STE 7-8
WILLIAMSVILLE NY
14221-6060
US

V. Phone/Fax

Practice location:
  • Phone: 716-277-0267
  • Fax: 716-803-8568
Mailing address:
  • Phone: 716-277-0267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHERRY ANN VEROSTKO-SLAZAK
Title or Position: NURSE PRACTITIONER
Credential: ANP-BC
Phone: 716-277-0267