JULIE ANN WETTLAUFER (NPI# 1578520805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578520805 |
Entity Type | Individual |
Full Name | JULIE ANN WETTLAUFER |
Credential | FNP |
Practice Address |
219 Bryant Street Buffalo NY 14222-2006 |
Mailing Address |
4511 Harlem Road Suite 202 Amherst NY 14226-3822 |
Practice Telephone | 7168787109 |
Practice Fax Number | 7168883917 |
Mailing Telephone | 7168396720 |
Mailing Fax Number | 7168396740 |
Enumeration Date | 2006-04-28 |
Last Update Date | 2008-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F330455 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01299412 | 05 | |
BC/BS | 000560224001 | 01 | |
IHA | 9590313 | 01 | |
UNIVERA | 00027160401 | 01 | |
FIDELIS | 040426001131 | 01 | |
PA | 0014387840001 | 05 |
Street Address |
219 BRYANT STREET |
City | BUFFALO |
State | NY |
Zip Code | 14222-2006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114915287 | Lynne Marie Fries | Physician Assistant | 219 Bryant Street, Buffalo, NY 14222-2006 | 2005-10-12 |
1730619768 | Andrea Fatima D'mello | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Buffalo, NY 14222 | 2017-06-13 |
1285169953 | Jackelyn Lau | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Buffalo, NY 14222 | 2017-05-01 |
1114450335 | Zaheer Cheema | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women and Children Hospital, Buffalo, NY 14222 | 2017-04-05 |
1053767780 | Traci Punturiero | Dietitian, Registered | 219 Bryant Street, Buffalo, NY 14222-2006 | 2016-05-12 |
1265888523 | Viveka Clare De Guerra | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women & Children's Hospital of Buffalo, Buffalo, NY 14222 | 2016-05-05 |
1225415714 | Rim Elchaki | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women & Children's Hospital of Buffalo, Buffalo, NY 14222 | 2015-05-04 |
1114312840 | Mallory Scogin | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Dept. of Obgyn, University At Buffalo, Buffalo, NY 14222 | 2015-03-31 |
1518300342 | Rabheh Abdul Aziz | Pediatrics | 219 Bryant Street, Buffalo, NY 14222-2006 | 2013-04-11 |
1992019558 | Natasha Gill | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women & Children's Hospital of Buffalo, Buffalo, NY 14222 | 2010-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407414360 | Brittany Marie Dorsey | Registered Nurse | 770 W. Ferry St, Apt 25b, Buffalo, NY 14222 | 2019-06-04 |
1215495494 | Tina Colaizzo-anas | Dietitian, Registered | 214 Caudell Hall, 1300 Elmwood Avenue, Buffalo, NY 14222 | 2019-03-07 |
1558831560 | Nichole Virag | Doula | 195 Lexington Ave, E, Buffalo, NY 14222 | 2018-12-03 |
1487120234 | Lakieta L Smith | Massage Therapist | 820 Elmwood Ave, 5, Buffalo, NY 14222 | 2018-10-19 |
1235524646 | Ann Caughill | Registered Nurse | 257 Elmwood Ave., Room 303, Buffalo, NY 14222 | 2015-04-02 |
1255608535 | Vinay Sharma | Pediatrics | 239 Bryant Street, Division of Neonatology, Buffalo, NY 14222 | 2011-11-30 |
1558644757 | John Arthur Gillespie | Internal Medicine | 190 Bryant St., Buffalo, NY 14222 | 2011-09-23 |
1861773384 | Pamela Mary Sheehan-schreck | Nurse Practitioner | 239 Bryant St., 2nd Floor, Buffalo, NY 14222 | 2011-08-30 |
1295025286 | Jeanie Bowen Hayes | Specialist/Technologist | 90 Highland Avenue, Buffalo, NY 14222 | 2011-04-12 |
1649404260 | Colleen Ann Nugent | Pediatrics | 239 Bryant Str, Women and Children's Hospital of Buffalo, Buffalo, NY 14222 | 2009-05-11 |
Find all providers in zip 14222 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1922624725 | Sarah Elizabeth Scullion | Nurse Practitioner | 410 Abbott Rd, Buffalo, NY 14220-1634 | 2020-06-18 |
1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
1538795083 | Marissa El Hawa | Nurse Practitioner | 308 Parkdale Ave, Buffalo, NY 14213-1431 | 2020-03-17 |
1659921609 | Ashley Lynn Ferguson | Nurse Practitioner | 8 Rose Dr, Buffalo, WY 82834-9312 | 2019-09-11 |
1093376121 | Patrisha Jane Neff | Nurse Practitioner | 12009 Mineral Ave, Buffalo, OH 43722 | 2019-06-28 |
1699336230 | Taylor Jean Tamburlin | Nurse Practitioner | 2240 N Forest Rd, Buffalo, NY 14221-1357 | 2019-06-25 |
1447815436 | Susan My Nghe | Nurse Practitioner | 1458 Sheridan Dr, Buffalo, NY 14217-1249 | 2019-05-05 |
1457914228 | Scot Lee Yarnell | Nurse Practitioner | 310 S Pacific St, Buffalo, KS 66717-2140 | 2019-04-17 |
1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
Find all providers in BUFFALO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.