Provider Demographics
NPI:1740240233
Name:DAUER, PATRICIA (NP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:DAUER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1848
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14240-1848
Mailing Address - Country:US
Mailing Address - Phone:716-923-4385
Mailing Address - Fax:716-246-4433
Practice Address - Street 1:2699 WEHRLE DRIVE
Practice Address - Street 2:HARRIS HILL NURSING FACILITY
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7332
Practice Address - Country:US
Practice Address - Phone:716-632-3700
Practice Address - Fax:716-632-5083
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332364363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9512640OtherIHA
NY000560381003OtherBC/BS
NY02374725Medicaid
NY151150BJOtherPREFERRED CARE
NY00021052002OtherUNIVERA
S67910Medicare UPIN
NY000560381003OtherBC/BS