Healthcare Provider Details
I. General information
NPI: 1386644540
Provider Name (Legal Business Name): DONNA MARIE STEINWACHS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/28/2005
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18 LIMESTONE DR SUITE 5
WILLIAMSVILLE NY
14221-8602
US
IV. Provider business mailing address
18 LIMESTONE DR SUITE 5
WILLIAMSVILLE NY
14221-8602
US
V. Phone/Fax
- Phone: 716-632-1400
- Fax: 716-632-5316
- Phone: 716-632-1400
- Fax: 716-632-5316
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | F330738-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: