Provider Demographics
NPI:1447773627
Name:INTORRE, FRANCINE M (AGNP-DNP)
Entity Type:Individual
Prefix:MISS
First Name:FRANCINE
Middle Name:M
Last Name:INTORRE
Suffix:
Gender:F
Credentials:AGNP-DNP
Other - Prefix:
Other - First Name:FRANCINE
Other - Middle Name:
Other - Last Name:MISTRETTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8235
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:716-817-1726
Practice Address - Street 1:295 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5795
Practice Address - Country:US
Practice Address - Phone:716-656-4461
Practice Address - Fax:716-250-5960
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308290363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04852764Medicaid