Provider Demographics
NPI:1356365951
Name:KAWALEC, CHRISTINE SOPHIA (RN NP MS)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:SOPHIA
Last Name:KAWALEC
Suffix:
Gender:F
Credentials:RN NP MS
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Mailing Address - Street 1:230 STERLING AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-2445
Mailing Address - Country:US
Mailing Address - Phone:716-834-9275
Mailing Address - Fax:
Practice Address - Street 1:3495 BAILEY AVE
Practice Address - Street 2:PRIMARY CARE GROUP 1 /4D
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1129
Practice Address - Country:US
Practice Address - Phone:716-862-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF300522-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health