National Provider Identifier

Mary C Haney, NP

Mary C Haney, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Niagara Falls, NY and a listed phone number of (716) 298-4869.

NPI 1083670293Niagara Falls, NYFamily Nurse Practitioner

Profile Overview

NPI
1083670293
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
April 25, 2006
Last Updated
November 10, 2011

Practice Location

  • 2931 Military RD
  • Niagara Falls, NY 14304-1251

Phone: (716) 298-4869

Mailing Address

  • 908 Niagara Falls Blvd
  • Suite 208
  • North Tonawanda, NY 14120-2019

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1083670293
Entity Type
Individual
Last Name
Haney
First Name
Mary
Middle Name
C
Credential
NP
Provider Other Last Name
Fetzer
Provider Other First Name
Mary
Provider Other Last Name Type Code
1
Mailing Street Address
908 Niagara Falls Blvd
Mailing Address Line 2
Suite 208
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-3302
Mailing Fax
(716) 692-4342
Practice Street Address
2931 Military RD
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14304-1251
Practice Country
US
Practice Phone
(716) 298-4869
Enumeration Date
April 25, 2006
Last Updated
November 10, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)
Other Identifiers
02505782 (NY)