National Provider Identifier
Michelle Theresa Brenner, NP
Michelle Theresa Brenner, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 893-1010.
Profile Overview
- NPI
- 1316987316
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- June 07, 2006
- Last Updated
- May 09, 2022
Practice Location
- 40 La Riviere Dr Ste 201
- Buffalo, NY 14202-4344
Phone: (716) 893-1010
Mailing Address
- 1560 Harlem RD
- Suite 3
- Cheektowaga, NY 14206-1964
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1316987316
- Entity Type
- Individual
- Last Name
- Brenner
- First Name
- Michelle
- Middle Name
- Theresa
- Credential
- NP
- Mailing Street Address
- 1560 Harlem RD
- Mailing Address Line 2
- Suite 3
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14206-1964
- Mailing Country
- US
- Mailing Phone
- (716) 893-1010
- Mailing Fax
- (716) 893-1002
- Practice Street Address
- 40 La Riviere Dr Ste 201
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-4344
- Practice Country
- US
- Practice Phone
- (716) 893-1010
- Practice Fax
- (716) 893-1002
- Enumeration Date
- June 07, 2006
- Last Updated
- May 09, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 09, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- 9512100 (Iha)