National Provider Identifier
Clarice Tannebaum, NP-C
Clarice Tannebaum, NP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Springville, NY and a listed phone number of (716) 599-1163.
Profile Overview
- NPI
- 1457937146
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- March 22, 2021
- Last Updated
- April 25, 2024
Practice Location
- 225 S Cascade Dr
- Springville, NY 14141-9287
Phone: (716) 599-1163
Mailing Address
- 417 E State St
- Salamanca, NY 14779-1227
Specialties
- Family Nurse Practitioner (363LF0000X)
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1457937146
- Entity Type
- Individual
- Last Name
- Tannebaum
- First Name
- Clarice
- Name Prefix
- Mrs.
- Credential
- NP-C
- Mailing Street Address
- 417 E State St
- Mailing City
- Salamanca
- Mailing State
- NY
- Mailing ZIP Code
- 14779-1227
- Mailing Country
- US
- Mailing Phone
- (716) 359-7175
- Practice Street Address
- 225 S Cascade Dr
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-9287
- Practice Country
- US
- Practice Phone
- (716) 599-1163
- Enumeration Date
- March 22, 2021
- Last Updated
- April 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Family Nurse Practitioner (363LF0000X)