Provider Demographics
NPI:1407102908
Name:SCHREGEL, KRISTIN DIANA (FNP)
Entity Type:Individual
Prefix:MISS
First Name:KRISTIN
Middle Name:DIANA
Last Name:SCHREGEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 BERRYMAN DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4374
Mailing Address - Country:US
Mailing Address - Phone:716-440-9514
Mailing Address - Fax:
Practice Address - Street 1:50 LAKEFRONT BLVD STE 130
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-4327
Practice Address - Country:US
Practice Address - Phone:716-440-9514
Practice Address - Fax:716-440-9514
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337414-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily