Doctor Name: | JOAN BEATRICE TUDINI |
NPI Number: | 1215927751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 236991 |
Business Practice Address: | 292 Main St East Aurora, NY - 140521650 |
Business Phone Number: | 7166521560 |
Business Fax Number: | 7166520018 |
Mailing Address: | 292 Main Street, EAST AURORA |
State: | NY |
Postal Code: | 140521560 |
Phone Number: | 7166521560 |
Fax Number: | 7166520018 |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0106X |
License Number: | 236991 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |