National Provider Identifier

Shayna Douglas, FNP

Shayna Douglas, 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) 862-1984.

NPI 1972274298Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1972274298
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
September 27, 2021
Last Updated
September 27, 2021

Practice Location

  • 2157 Main St
  • Buffalo, NY 14214-2648

Phone: (716) 862-1984

Mailing Address

  • 2157 Main St Fl 1
  • Buffalo, NY 14214-2648

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1972274298
Entity Type
Individual
Last Name
Douglas
First Name
Shayna
Credential
FNP
Mailing Street Address
2157 Main St Fl 1
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2648
Mailing Country
US
Practice Street Address
2157 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2648
Practice Country
US
Practice Phone
(716) 862-1984
Enumeration Date
September 27, 2021
Last Updated
September 27, 2021
Sex
Female
Sole Proprietor
No
Certification Date
September 24, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)