Provider Demographics
NPI:1861773384
Name:SHEEHAN-SCHRECK, PAMELA MARY (FNP)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:MARY
Last Name:SHEEHAN-SCHRECK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:MARY
Other - Last Name:SHEEHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:239 BRYANT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222
Mailing Address - Country:US
Mailing Address - Phone:716-878-7300
Mailing Address - Fax:716-878-7339
Practice Address - Street 1:239 BRYANT ST.
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222
Practice Address - Country:US
Practice Address - Phone:716-878-7300
Practice Address - Fax:716-878-7339
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336871-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner