National Provider Identifier

Shana Mazgaj, FNP

Shana Mazgaj, 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) 898-3073.

NPI 1881356137Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1881356137
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
October 13, 2021
Last Updated
October 13, 2021

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3098

Phone: (716) 898-3073

Mailing Address

  • 1399 Vanderbilt Ave
  • North Tonawanda, NY 14120-2314

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1881356137
Entity Type
Individual
Last Name
Mazgaj
First Name
Shana
Credential
FNP
Mailing Street Address
1399 Vanderbilt Ave
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2314
Mailing Country
US
Mailing Phone
(716) 870-6048
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3098
Practice Country
US
Practice Phone
(716) 898-3073
Enumeration Date
October 13, 2021
Last Updated
October 13, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 13, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)