National Provider Identifier
Mary Susan Niederpruem, ANP
Mary Susan Niederpruem, ANP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 636-7979.
Profile Overview
- NPI
- 1386601110
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- April 26, 2006
- Last Updated
- December 29, 2017
Practice Location
- 1150 Youngs RD
- Suite 104
- Williamsville, NY 14221
Phone: (716) 636-7979
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1386601110
- Entity Type
- Individual
- Last Name
- Niederpruem
- First Name
- Mary
- Middle Name
- Susan
- Name Prefix
- Mrs.
- Credential
- ANP
- Provider Other Last Name
- Slopka
- Provider Other First Name
- Mary
- Provider Other Middle Name
- Susan
- Provider Other Credential Text
- ANP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1150 Youngs RD
- Mailing Address Line 2
- Suite 104
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221
- Mailing Country
- US
- Mailing Phone
- (716) 636-7990
- Mailing Fax
- (716) 636-7993
- Practice Street Address
- 1150 Youngs RD
- Practice Address Line 2
- Suite 104
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 636-7979
- Practice Fax
- (716) 636-7993
- Enumeration Date
- April 26, 2006
- Last Updated
- December 29, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)