NPI 1043821499

Jacob Moening

Practitioner Certified Registered Nurse Anesthetist Williamsville, NY

Practice location

Address: 30 S Cayuga Rd, Williamsville, NY 14221-6728
Phone: (716) 632-1088
Mailing address: 10680 Boyd Dr, Clarence, NY 14031-2214

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 783316 (NY)

Other Nurse Anesthetist, Certified Registered providers in New York →

Registry record

NPI: 1043821499
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2020
Record last updated: 10 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.