KELLEY SHANNON MISTRETTA

BUFFALO, NY
NPI1467874263
Former NameKELLEY SHANNON WARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F306653-1)
Enumeration Date2014-01-13
Last Update Date2014-01-13
Business Address
Mrs. KELLEY SHANNON MISTRETTA MS, RN, ANP, C-EFM
2157 MAIN ST
BUFFALO, NY 14214-2648
Phone number: 716-862-1984
Mailing Address
Mrs. KELLEY SHANNON MISTRETTA MS, RN, ANP, C-EFM
2157 MAIN ST
BUFFALO, NY 14214-2648
Phone number: 716-862-1984
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