Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 001041 | NY |
NPI | 1043232002 |
---|---|
Provider Name | Sharon H Nisengard |
First Address | Buffalo, NY 14220-2039 |
Second Address | Buffalo, NY 14220-2039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |