Provider Demographics
NPI: | 1295926327 |
---|---|
Name: | VERNI, CHRISTINE M (FNP) |
Entity type: | Individual |
Prefix: | MRS |
First Name: | CHRISTINE |
Middle Name: | M |
Last Name: | VERNI |
Suffix: | |
Gender: | |
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: | 184 BARTON ST |
Mailing Address - Street 2: | |
Mailing Address - City: | BUFFALO |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 14213-1573 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 716-881-6191 |
Mailing Address - Fax: | 716-881-6247 |
Practice Address - Street 1: | 184 BARTON ST |
Practice Address - Street 2: | |
Practice Address - City: | BUFFALO |
Practice Address - State: | NY |
Practice Address - Zip Code: | 14213-1573 |
Practice Address - Country: | US |
Practice Address - Phone: | 716-881-6191 |
Practice Address - Fax: | 716-881-6247 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-08-05 |
Last Update Date: | 2025-02-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | F335221-1 | 363LF0000X |
NY | F335221 | 363LF0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
00028340601 | Other | UNIVERA | |
000530040003 | Other | BC/BS | |
9514447 | Other | IHA | |
NY | 02952789 | Medicaid | |
080414000045 | Other | FIDELIS | |
000530040003 | Other | BC/BS |