National Provider Identifier

Tina M Ricchiazzi, FNP-BC

Tina M Ricchiazzi, FNP-BC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 630-1000.

NPI 1356880579Williamsville, NYFamily Nurse Practitioner

Profile Overview

NPI
1356880579
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
February 21, 2017
Last Updated
January 15, 2020

Practice Location

  • 1540 Maple RD
  • Williamsville, NY 14221-3647

Phone: (716) 630-1000

Mailing Address

  • 425 Essjay RD Ste 170
  • Williamsville, NY 14221-8235

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1356880579
Entity Type
Individual
Last Name
Ricchiazzi
First Name
Tina
Middle Name
M
Credential
FNP-BC
Mailing Street Address
425 Essjay RD Ste 170
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8235
Mailing Country
US
Mailing Phone
(716) 630-1219
Practice Street Address
1540 Maple RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-3647
Practice Country
US
Practice Phone
(716) 630-1000
Enumeration Date
February 21, 2017
Last Updated
January 15, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 15, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)