Provider Demographics
NPI:1871192468
Name:ADULT HEALTH NP HOUSE CALLS PC
Entity Type:Organization
Organization Name:ADULT HEALTH NP HOUSE CALLS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNET JUNE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:716-429-3344
Mailing Address - Street 1:7954 TRANSIT RD # 134
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4117
Mailing Address - Country:US
Mailing Address - Phone:716-400-0599
Mailing Address - Fax:
Practice Address - Street 1:7954 TRANSIT RD # 134
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-4117
Practice Address - Country:US
Practice Address - Phone:716-400-0599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02094902Medicaid