National Provider Identifier

Richard Christopher Waterstram, RN-BC, MS

Richard Christopher Waterstram, RN-BC, MS is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 856-2587.

NPI 1306425202Buffalo, NYRegistered Nurse

Profile Overview

NPI
1306425202
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
April 07, 2021
Last Updated
July 28, 2023

Practice Location

  • 3350 Main St
  • Buffalo, NY 14214-1316

Phone: (716) 856-2587

Mailing Address

  • 1412 Sweet Home RD Ste 3
  • Amherst, NY 14228-2795

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1306425202
Entity Type
Individual
Last Name
Waterstram
First Name
Richard
Middle Name
Christopher
Credential
RN-BC, MS
Mailing Street Address
1412 Sweet Home RD Ste 3
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-2795
Mailing Country
US
Mailing Phone
(716) 589-1411
Mailing Fax
(716) 204-0670
Practice Street Address
3350 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1316
Practice Country
US
Practice Phone
(716) 856-2587
Enumeration Date
April 07, 2021
Last Updated
July 28, 2023
Sex
Male
Sole Proprietor
No
Certification Date
July 28, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)