National Provider Identifier

Tamicole Ashley McClam

Tamicole Ashley McClam is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 380-4001.

NPI 1669957346Buffalo, NYRegistered Nurse

Profile Overview

NPI
1669957346
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
September 28, 2018
Last Updated
September 28, 2018

Practice Location

  • 259 Hazelwood Ave
  • Buffalo, NY 14215-3566

Phone: (716) 380-4001

Specialties

  • Registered Nurse (163W00000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1669957346
Entity Type
Individual
Last Name
McClam
First Name
Tamicole
Middle Name
Ashley
Mailing Street Address
259 Hazelwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3566
Mailing Country
US
Mailing Phone
(716) 380-4001
Practice Street Address
259 Hazelwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3566
Practice Country
US
Practice Phone
(716) 380-4001
Enumeration Date
September 28, 2018
Last Updated
September 28, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X), Registered Nurse (163W00000X)