National Provider Identifier
Raymond Arthur Neiswonger, RN, ACNP, BC
Raymond Arthur Neiswonger, RN, ACNP, BC is listed in the NPPES registry with a primary specialty of Critical Care Medicine Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 961-6995.
Profile Overview
- NPI
- 1326013152
- Provider Type
- Individual
- Primary Specialty
- Critical Care Medicine Nurse Practitioner
- Enumeration Date
- February 23, 2006
- Last Updated
- October 21, 2009
Practice Location
- 462 Grider Street
- Rm 741
- Buffalo, NY 14215
Phone: (716) 961-6995
Mailing Address
- 6653 Main Street
- Williamsville, NY 14221
Specialties
- Critical Care Medicine Nurse Practitioner (363LC0200X)
Full Record
- NPI
- 1326013152
- Entity Type
- Individual
- Last Name
- Neiswonger
- First Name
- Raymond
- Middle Name
- Arthur
- Credential
- RN, ACNP, BC
- Mailing Street Address
- 6653 Main Street
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221
- Mailing Country
- US
- Mailing Phone
- (716) 204-4500
- Mailing Fax
- (716) 204-4501
- Practice Street Address
- 462 Grider Street
- Practice Address Line 2
- Rm 741
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (716) 961-6995
- Practice Fax
- (716) 898-5276
- Enumeration Date
- February 23, 2006
- Last Updated
- October 21, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Critical Care Medicine Nurse Practitioner (363LC0200X)
- Other Identifiers
- 02663761 (NY)