National Provider Identifier

Amy L Southard, FNP

Amy L Southard, 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) 626-5250.

NPI 1609830942Williamsville, NYFamily Nurse Practitioner

Profile Overview

NPI
1609830942
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
April 13, 2006
Last Updated
December 09, 2013

Practice Location

  • 60 Maple Road
  • Williamsville, NY 14221-2917

Phone: (716) 626-5250

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1609830942
Entity Type
Individual
Last Name
Southard
First Name
Amy
Middle Name
L
Credential
FNP
Mailing Street Address
60 Maple Road
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-2917
Mailing Country
US
Mailing Phone
(716) 626-5250
Mailing Fax
(716) 332-2218
Practice Street Address
60 Maple Road
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-2917
Practice Country
US
Practice Phone
(716) 626-5250
Practice Fax
(716) 332-2218
Enumeration Date
April 13, 2006
Last Updated
December 09, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)
Other Identifiers
00026499401 (NY, Univera), 9512030 (NY, Independent Health), 040511000415 (NY, Fidelis), 000560074006 (NY, BCBS Of Wny)