Provider Demographics
NPI:1831787449
Name:AMMERMAN, KAREN HILS
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:HILS
Last Name:AMMERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 JONATHAN PL
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2829
Mailing Address - Country:US
Mailing Address - Phone:716-998-9352
Mailing Address - Fax:
Practice Address - Street 1:555 FLETCHER ST
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-1833
Practice Address - Country:US
Practice Address - Phone:716-694-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY324935163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse