National Provider Identifier
Tiffany Nicholson, NURSE PRACTITIONER
Tiffany Nicholson, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 204-4500.
Profile Overview
- NPI
- 1093054975
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- February 12, 2013
- Last Updated
- August 02, 2021
Practice Location
- 1 John James Audubon Pkwy Ste 200
- Buffalo, NY 14228-1145
Phone: (716) 204-4500
Mailing Address
- 108 Aldine St
- Rochester, NY 14619-1204
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
- Community Health Registered Nurse (163WC1500X)
Full Record
- NPI
- 1093054975
- Entity Type
- Individual
- Last Name
- Nicholson
- First Name
- Tiffany
- Credential
- NURSE PRACTITIONER
- Mailing Street Address
- 108 Aldine St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1204
- Mailing Country
- US
- Mailing Phone
- (585) 208-7771
- Practice Street Address
- 1 John James Audubon Pkwy Ste 200
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14228-1145
- Practice Country
- US
- Practice Phone
- (716) 204-4500
- Practice Fax
- (585) 672-2527
- Enumeration Date
- February 12, 2013
- Last Updated
- August 02, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Community Health Registered Nurse (163WC1500X)