National Provider Identifier

Tata Jefferson

Tata Jefferson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 961-4344.

NPI 1851636567Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1851636567
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 06, 2012
Last Updated
December 06, 2012

Practice Location

  • 346 Delaware Ave
  • Buffalo, NY 14202-1804

Phone: (716) 961-4344

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1851636567
Entity Type
Individual
Last Name
Jefferson
First Name
Tata
Mailing Street Address
346 Delaware Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1804
Mailing Country
US
Mailing Phone
(716) 961-4344
Practice Street Address
346 Delaware Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1804
Practice Country
US
Practice Phone
(716) 961-4344
Enumeration Date
December 06, 2012
Last Updated
December 06, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)