National Provider Identifier

Ellen E Brody, FNP

Ellen E Brody, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 636-7979.

NPI 1568937779Williamsville, NYFamily Nurse Practitioner

Profile Overview

NPI
1568937779
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
October 04, 2018
Last Updated
October 04, 2018

Practice Location

  • 1150 Youngs RD Ste 104
  • Williamsville, NY 14221-8096

Phone: (716) 636-7979

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1568937779
Entity Type
Individual
Last Name
Brody
First Name
Ellen
Middle Name
E
Credential
FNP
Mailing Street Address
1150 Youngs RD Ste 104
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8096
Mailing Country
US
Mailing Phone
(716) 636-7979
Mailing Fax
(716) 636-7993
Practice Street Address
1150 Youngs RD Ste 104
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8096
Practice Country
US
Practice Phone
(716) 636-7979
Practice Fax
(716) 636-7993
Enumeration Date
October 04, 2018
Last Updated
October 04, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)