National Provider Identifier

Shellee Anne Lusung Quaglia

Shellee Anne Lusung Quaglia is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Amherst, NY and a listed phone number of (716) 923-4380.

NPI 1174124333Amherst, NYNurse Practitioner

Profile Overview

NPI
1174124333
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
November 04, 2020
Last Updated
August 24, 2022

Practice Location

  • 4979 Harlem RD
  • Amherst, NY 14226-2547

Phone: (716) 923-4380

Specialties

  • Nurse Practitioner (363L00000X)
  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1174124333
Entity Type
Individual
Last Name
Quaglia
First Name
Shellee
Middle Name
Anne Lusung
Mailing Street Address
4979 Harlem RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-2547
Mailing Country
US
Mailing Phone
(716) 923-4380
Practice Street Address
4979 Harlem RD
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-2547
Practice Country
US
Practice Phone
(716) 923-4380
Enumeration Date
November 04, 2020
Last Updated
August 24, 2022
Sex
Female
Sole Proprietor
No
Certification Date
August 24, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X)