| Maxine Kidder, PNP | |
|
139 Professional Pkwy, Lockport, NY 14094-5369 | |
| (716) 433-6711 | |
| (716) 433-0546 |
| Full Name | Maxine Kidder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 139 Professional Pkwy, Lockport, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124084090 | NPI | - | NPPES |
| 000560073003 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 9512424 | Other | NY | INDEPENDENT HEALTH |
| 01400724 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 380525 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Maxine Kidder, PNP 139 Professional Pkwy, Lockport, NY 14094-5369 Ph: (716) 433-6711 | Maxine Kidder, PNP 139 Professional Pkwy, Lockport, NY 14094-5369 Ph: (716) 433-6711 |
Stacie Grant, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38 Heritage Ct, Lockport, NY 14094 Phone: 716-433-4465 | |
Amanda Ann Ulsifer, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5526 Niagara Street Ext, Lockport, NY 14094 Phone: 716-438-3429 Fax: 716-438-3428 | |
Ms. Ann Catherine Coia, RN, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4675 Sunset Dr, Lockport, NY 14094 Phone: 716-439-4417 Fax: 716-439-6214 | |
Mrs. Jane K James, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5879 Snyder Dr, Lockport, NY 14094 Phone: 716-433-8751 | |
Kelly Marie Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6950 S Transit Rd, Lockport, NY 14094 Phone: 716-630-1335 Fax: 716-817-1770 | |
Mr. Tanvir Hoque Shagar, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 272 East Ave, Lockport, NY 14094 Phone: 716-995-4450 |