National Provider Identifier

Christa Louise Licht, FNP

Christa Louise Licht, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 228-2726.

NPI 1679266894Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1679266894
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 01, 2023
Last Updated
July 24, 2023

Practice Location

  • 2950 Elmwood Ave
  • Buffalo, NY 14217-1304

Phone: (716) 228-2726

Mailing Address

  • 4675 Sunset Dr
  • Lockport, NY 14094-1231

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1679266894
Entity Type
Individual
Last Name
Licht
First Name
Christa
Middle Name
Louise
Credential
FNP
Mailing Street Address
4675 Sunset Dr
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-1231
Mailing Country
US
Mailing Phone
(716) 439-4417
Practice Street Address
2950 Elmwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14217-1304
Practice Country
US
Practice Phone
(716) 228-2726
Enumeration Date
June 01, 2023
Last Updated
July 24, 2023
Sex
Female
Sole Proprietor
No
Certification Date
July 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)