National Provider Identifier

Jennifer Rose Vanderwerf, PA-C

Jennifer Rose Vanderwerf, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 898-4166.

NPI 1376101741Buffalo, NYPhysician Assistant

Profile Overview

NPI
1376101741
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
May 31, 2019
Last Updated
May 31, 2019

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-4166

Mailing Address

  • 100 Pinehurst Ave
  • Cheektowaga, NY 14225-3317

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1376101741
Entity Type
Individual
Last Name
Vanderwerf
First Name
Jennifer
Middle Name
Rose
Credential
PA-C
Mailing Street Address
100 Pinehurst Ave
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-3317
Mailing Country
US
Mailing Phone
(520) 820-2824
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-4166
Practice Fax
(716) 645-9701
Enumeration Date
May 31, 2019
Last Updated
May 31, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)