National Provider Identifier

Susan Mary Domres, RN

Susan Mary Domres, RN is listed in the NPPES registry with a primary specialty of Case Management Registered Nurse in Buffalo, NY and a listed phone number of (716) 881-6191.

NPI 1811736887Buffalo, NYCase Management Registered Nurse

Profile Overview

NPI
1811736887
Provider Type
Individual
Primary Specialty
Case Management Registered Nurse
Enumeration Date
May 21, 2024
Last Updated
May 21, 2024

Practice Location

  • 184 Barton St
  • Buffalo, NY 14213-1573

Phone: (716) 881-6191

Specialties

  • Case Management Registered Nurse (163WC0400X)
Full Record
NPI
1811736887
Entity Type
Individual
Last Name
Domres
First Name
Susan
Middle Name
Mary
Name Prefix
Miss
Credential
RN
Mailing Street Address
184 Barton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-1573
Mailing Country
US
Mailing Phone
(716) 881-6192
Mailing Fax
(716) 881-6247
Practice Street Address
184 Barton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1573
Practice Country
US
Practice Phone
(716) 881-6191
Enumeration Date
May 21, 2024
Last Updated
May 21, 2024
Sex
Female
Sole Proprietor
No
Certification Date
May 21, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Management Registered Nurse (163WC0400X)