National Provider Identifier

Khalifah Lutfiyyah Glover, NP

Khalifah Lutfiyyah Glover, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 834-9200.

NPI 1396426763Buffalo, NYNurse Practitioner

Profile Overview

NPI
1396426763
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
July 28, 2023
Last Updated
July 28, 2023

Practice Location

  • 3495 Bailey Ave
  • Buffalo, NY 14215-1129

Phone: (716) 834-9200

Mailing Address

  • 158 Crestwood Ln
  • Williamsville, NY 14221-1463

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1396426763
Entity Type
Individual
Last Name
Glover
First Name
Khalifah
Middle Name
Lutfiyyah
Name Prefix
Mrs.
Credential
NP
Mailing Street Address
158 Crestwood Ln
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-1463
Mailing Country
US
Mailing Phone
(716) 807-7286
Practice Street Address
3495 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1129
Practice Country
US
Practice Phone
(716) 834-9200
Enumeration Date
July 28, 2023
Last Updated
July 28, 2023
Sex
Female
Sole Proprietor
No
Certification Date
July 28, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)