National Provider Identifier
Tina Marie Blacha, NURSE PRACTIONER
Tina Marie Blacha, NURSE PRACTIONER is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 568-3600.
Profile Overview
- NPI
- 1467645507
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 22, 2007
- Last Updated
- October 30, 2009
Practice Location
- 1540 Maple RD
- Williamsville, NY 14221-3647
Phone: (716) 568-3600
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1467645507
- Entity Type
- Individual
- Last Name
- Blacha
- First Name
- Tina
- Middle Name
- Marie
- Credential
- NURSE PRACTIONER
- Mailing Street Address
- 1540 Maple RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3647
- Mailing Country
- US
- Mailing Phone
- (716) 568-3600
- Mailing Fax
- (716) 568-3037
- Practice Street Address
- 1540 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3647
- Practice Country
- US
- Practice Phone
- (716) 568-3600
- Practice Fax
- (716) 568-3037
- Enumeration Date
- August 22, 2007
- Last Updated
- October 30, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)