National Provider Identifier

Angelica Lizza Ruth Dienaar, REGISTERED NURSE

Angelica Lizza Ruth Dienaar, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 816-2016.

NPI 1114737624Buffalo, NYRegistered Nurse

Profile Overview

NPI
1114737624
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
January 08, 2025
Last Updated
January 08, 2025

Practice Location

  • 400 Forest Ave
  • Buffalo, NY 14213-1207

Phone: (716) 816-2016

Mailing Address

  • 103 Wareside Road
  • Etobicoke, ON 937
  • CA

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1114737624
Entity Type
Individual
Last Name
Dienaar
First Name
Angelica
Middle Name
Lizza Ruth
Credential
REGISTERED NURSE
Mailing Street Address
103 Wareside Road
Mailing City
Etobicoke
Mailing State
ON
Mailing ZIP Code
937
Mailing Country
CA
Practice Street Address
400 Forest Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1207
Practice Country
US
Practice Phone
(716) 816-2016
Enumeration Date
January 08, 2025
Last Updated
January 08, 2025
Sex
Female
Sole Proprietor
No
Certification Date
January 08, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)