Susan Jane Bostaph, RN
Individual provider Active NPI School Registered Nurse · Tonawanda, NY
NPI 1861769929 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1861769929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 263993 (NY)
- Practice address
- 44 Westfall Dr
Tonawanda, NY 14150-7130 - Phone
- (716) 874-8719
- Fax
- (716) 874-8550
- NPI assigned
- Nov 17, 2011
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263993 | NY | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 263993 | NY | Yes |
Addresses
Primary practice location
44 Westfall Dr
Tonawanda, NY 14150-7130
Mailing address
44 Westfall Dr
Tonawanda, NY 14150-7130
Phone (716) 874-8719
Other providers in Tonawanda, NY
- Amanda Blum
- Allison Elizabeth Bolton
- Heidi Bonderud
- Gilda Grace Bonnevie
- Jacqueline Bontzolakes
- Roseann Boswell
- Rebecca Diane Bradford
- Quinn Bremer
- Victoria Brennan
- Jamie L Brenon
All providers in Tonawanda, NY · School Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. 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.