Heather Petri
Nurse Practitioner, Family in Hamburg, NY. Individual provider (NPI-1).
NPI number1871199844
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1871199844
- Entity type
- Individual (NPI-1)
- Name
- Heather Petri
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2020
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F346748-01 | NY | Yes |
Practice location
4535 Southwestern BlvdHamburg, NY 14075-1860
Phone 716-202-4190
Mailing address
53 Delham AveBuffalo, NY 14216-3308
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Family Nurse Practitioner providers in Hamburg · All 903 providers in Hamburg
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