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NPI Code Detail

MEDICARE: LAURIE ANNE ENGLER FNP

MEDICARE: LAURIE ANNE ENGLER 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
1174400000XSpecialistF332484-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19512282OTHERNYINDEPENDENT HEALTH
2000560638001OTHERNYBLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1821048190
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE ANNE ENGLER FNP
Provider Business Mailing Address
First Line : 206 S ELMWOOD AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14201-2398
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 206 S ELMWOOD AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14201-2398
Country : US
Telephone Number : 716-847-0328
Fax Number : 716-847-2715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 07/08/2007

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Directions to “ LAURIE ANNE ENGLER FNP” Practice Location

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