National Provider Identifier

Elizabeth Ann Grundtisch, NP

Elizabeth Ann Grundtisch, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 887-4147.

NPI 1346290228Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1346290228
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
May 11, 2006
Last Updated
July 08, 2007

Practice Location

  • 3 Gates Cir
  • Buffalo, NY 14209-1120

Phone: (716) 887-4147

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1346290228
Entity Type
Individual
Last Name
Grundtisch
First Name
Elizabeth
Middle Name
Ann
Name Prefix
Mrs.
Credential
NP
Mailing Street Address
3 Gates Cir
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-1120
Mailing Country
US
Mailing Phone
(716) 887-4147
Mailing Fax
(716) 887-4446
Practice Street Address
3 Gates Cir
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1120
Practice Country
US
Practice Phone
(716) 887-4147
Practice Fax
(716) 887-4446
Enumeration Date
May 11, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)