Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mobile Primary Care Family Nurse Practitioners, PLLC

Organization Family Nurse Practitioner · NPI 1669673349

Mobile Primary Care Family Nurse Practitioners, PLLC is a Family Nurse Practitioner in Buffalo, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

640 Ellicott St Ste 105
Buffalo, NY 14203-1245
Phone: (716) 893-1010
Fax: (716) 893-1002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 333122 (NY)

Record details

NPI number1669673349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Shaffer — Director · (716) 893-1010
NPI enumeratedMay 30, 2007
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022
Mailing address40 La Riviere Dr Ste 201, Buffalo, NY 14202-4344

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