National Provider Identifier
Traci L McMullen
Traci L McMullen is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 871-1571.
Profile Overview
- NPI
- 1619643582
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 19, 2021
- Last Updated
- August 19, 2021
Practice Location
- 900 Hertel Ave
- Buffalo, NY 14216-2611
Phone: (716) 871-1571
Mailing Address
- 24 Thomaston Ln
- Orchard Park, NY 14127-2526
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1619643582
- Entity Type
- Individual
- Last Name
- McMullen
- First Name
- Traci
- Middle Name
- L
- Mailing Street Address
- 24 Thomaston Ln
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2526
- Mailing Country
- US
- Mailing Phone
- (716) 861-2386
- Practice Street Address
- 900 Hertel Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-2611
- Practice Country
- US
- Practice Phone
- (716) 871-1571
- Enumeration Date
- August 19, 2021
- Last Updated
- August 19, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)