National Provider Identifier
Latasha Gardener, NURSE PRACTITIONER
Latasha Gardener, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 882-0366.
Profile Overview
- NPI
- 1104349117
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 21, 2017
- Last Updated
- January 18, 2024
Practice Location
- 564 Niagara St Bldg 2
- Buffalo, NY 14201-1108
Phone: (716) 882-0366
Mailing Address
- 3871 Harlem RD
- Buffalo, NY 14215-1946
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1104349117
- Entity Type
- Individual
- Last Name
- Gardener
- First Name
- Latasha
- Credential
- NURSE PRACTITIONER
- Mailing Street Address
- 3871 Harlem RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1946
- Mailing Country
- US
- Mailing Phone
- (716) 681-4088
- Practice Street Address
- 564 Niagara St Bldg 2
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1108
- Practice Country
- US
- Practice Phone
- (716) 882-0366
- Enumeration Date
- July 21, 2017
- Last Updated
- January 18, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 31, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)