Kirsten Ann Thibodeau Nutty, LNP | |
1001 Main St Fl 4, Buffalo, NY 14203-1009 | |
(716) 323-0110 | |
(716) 323-0296 |
Full Name | Kirsten Ann Thibodeau Nutty |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics, Critical Care |
Location | 1001 Main St Fl 4, Buffalo, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861706335 | NPI | - | NPPES |
03351782 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | 382142 (New York) | Primary |
Entity Name | University At Buffalo Pediatric Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912928599 PECOS PAC ID: 1355235540 Enrollment ID: O20040210000076 |
Mailing Address | Practice Location Address |
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Kirsten Ann Thibodeau Nutty, LNP 1099 Colvin Blvd, Kenmore, NY 14223-1904 Ph: (518) 588-3235 | Kirsten Ann Thibodeau Nutty, LNP 1001 Main St Fl 4, Buffalo, NY 14203-1009 Ph: (716) 323-0110 |
Mr. V. Thomas Chapin, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000 | |
Beth Lyn Vaccarelli, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 | |
Ms. Denise Marie Donahue, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-5600 | |
Mr. Jerry L Corp Ii, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Delaware Ave, Buffalo, NY 14202 Phone: 716-884-0888 | |
Stephanie Erin Myszka, F.N.P.- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 | |
Jessica Lynn Hafezi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Streets, Buffalo, NY 14263 Phone: 716-845-2300 | |
Yevgeniya S Lipina, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 Fax: 844-206-7424 |