National Provider Identifier

Heather Petri

Heather Petri is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Hamburg, NY and a listed phone number of (716) 202-4190.

NPI 1871199844Hamburg, NYFamily Nurse Practitioner

Profile Overview

NPI
1871199844
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
December 07, 2020
Last Updated
December 07, 2020

Practice Location

  • 4535 Southwestern Blvd
  • Hamburg, NY 14075-1860

Phone: (716) 202-4190

Mailing Address

  • 53 Delham Ave
  • Buffalo, NY 14216-3308

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1871199844
Entity Type
Individual
Last Name
Petri
First Name
Heather
Mailing Street Address
53 Delham Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-3308
Mailing Country
US
Practice Street Address
4535 Southwestern Blvd
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-1860
Practice Country
US
Practice Phone
(716) 202-4190
Enumeration Date
December 07, 2020
Last Updated
December 07, 2020
Sex
Female
Sole Proprietor
No
Certification Date
December 07, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)