National Provider Identifier
Beth L Tacca, ANP
Beth L Tacca, ANP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Amherst, NY and a listed phone number of (716) 446-1435.
Profile Overview
- NPI
- 1962603316
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- May 31, 2007
- Last Updated
- March 10, 2008
Practice Location
- 760 Millersport Hwy
- Amherst, NY 14226-2410
Phone: (716) 446-1435
Mailing Address
- 22 Westwood Dr
- Tonawanda, NY 14150-5524
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1962603316
- Entity Type
- Individual
- Last Name
- Tacca
- First Name
- Beth
- Middle Name
- L
- Credential
- ANP
- Provider Other Last Name
- Divietro
- Provider Other First Name
- Beth
- Provider Other Middle Name
- L
- Provider Other Credential Text
- ANP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 22 Westwood Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-5524
- Mailing Country
- US
- Mailing Phone
- (716) 308-6885
- Practice Street Address
- 760 Millersport Hwy
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-2410
- Practice Country
- US
- Practice Phone
- (716) 446-1435
- Practice Fax
- (716) 446-1569
- Enumeration Date
- May 31, 2007
- Last Updated
- March 10, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Registered Nurse (163W00000X)
- Other Identifiers
- 00028045601 (NY, Univera), 9514256 (NY, Independent Health), 000529289001 (NY, Blue Cross), 02892822 (NY)