National Provider Identifier
Nicole Marie Haseley, AGNP
Nicole Marie Haseley, AGNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 898-6283.
Profile Overview
- NPI
- 1992497093
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 25, 2023
- Last Updated
- May 25, 2023
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-6283
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1992497093
- Entity Type
- Individual
- Last Name
- Haseley
- First Name
- Nicole
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- AGNP
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 898-6283
- Mailing Fax
- (716) 898-5382
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-6283
- Practice Fax
- (716) 898-5382
- Enumeration Date
- May 25, 2023
- Last Updated
- May 25, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 25, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)