Kristal Anderson
Individual provider Active NPI Registered Nurse · Buffalo, NY
NPI 1033513445 · NPPES record last updated Oct 14, 2014
Key facts
- NPI
- 1033513445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 644829 (NY)
- Practice address
- 346 Delaware Ave
Buffalo, NY 14202-1804 - Phone
- (716) 856-7500
- NPI assigned
- Oct 14, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 644829 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 644829 | NY | Yes |
Addresses
Primary practice location
346 Delaware Ave
Buffalo, NY 14202-1804
Mailing address
346 Delaware Ave
Buffalo, NY 14202-1804
Phone (716) 640-7931
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.