Provider Demographics
NPI:1609474394
Name:SAPOZHNIKOV, NATALIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:SAPOZHNIKOV
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:SAPOZHNIKOV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN BSN
Mailing Address - Street 1:28 HAVERTON LN
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-3727
Mailing Address - Country:US
Mailing Address - Phone:716-400-8538
Mailing Address - Fax:
Practice Address - Street 1:490 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1304
Practice Address - Country:US
Practice Address - Phone:716-322-2780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY710310163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty