National Provider Identifier

Karen Marie Pezouvanis, R.N.

Karen Marie Pezouvanis, R.N. is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 816-3065.

NPI 1114204088Buffalo, NYRegistered Nurse

Profile Overview

NPI
1114204088
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
November 07, 2011
Last Updated
November 07, 2011

Practice Location

  • 462 Grider St
  • Suite 16
  • Buffalo, NY 14215-3021

Phone: (716) 816-3065

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1114204088
Entity Type
Individual
Last Name
Pezouvanis
First Name
Karen
Middle Name
Marie
Name Prefix
Mrs.
Credential
R.N.
Provider Other Last Name
Hodak
Provider Other First Name
Karen
Provider Other Middle Name
Marie
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
R.N.
Provider Other Last Name Type Code
1
Mailing Street Address
462 Grider St
Mailing Address Line 2
Suite 16
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Mailing Phone
(716) 816-3065
Mailing Fax
(716) 897-8081
Practice Street Address
462 Grider St
Practice Address Line 2
Suite 16
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 816-3065
Practice Fax
(716) 897-8081
Enumeration Date
November 07, 2011
Last Updated
November 07, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)