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NPI Code Detail

MEDICARE: MRS. ELEANOR BRIDGET NIXON FNP

MEDICARE: MRS. ELEANOR BRIDGET NIXON FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner33335078FNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457413528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELEANOR BRIDGET NIXON FNP
Provider Business Mailing Address
First Line : 184 BARTON ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-1573
Country : US
Telephone Number : 716-881-6191
Fax Number : 716-881-6247
Provider Business Practice Location Address
First Line : 184 BARTON ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-1573
Country : US
Telephone Number : 716-881-6191
Fax Number : 716-881-6247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 10/28/2015

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