National Provider Identifier
Nicole Moeller, PA
Nicole Moeller, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 204-4532.
Profile Overview
- NPI
- 1811304140
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 18, 2014
- Last Updated
- June 19, 2020
Practice Location
- 1000 Youngs RD Ste 101
- Williamsville, NY 14221-2644
Phone: (716) 204-4532
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1811304140
- Entity Type
- Individual
- Last Name
- Moeller
- First Name
- Nicole
- Credential
- PA
- Provider Other Last Name
- Alberti
- Provider Other First Name
- Nicole
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1000 Youngs RD Ste 101
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2644
- Mailing Country
- US
- Mailing Phone
- (716) 204-4532
- Practice Street Address
- 1000 Youngs RD Ste 101
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2644
- Practice Country
- US
- Practice Phone
- (716) 204-4532
- Enumeration Date
- July 18, 2014
- Last Updated
- June 19, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 19, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)