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

Latasha Gardener, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1104349117

Latasha Gardener, NURSEPRACTITIONER is a Nurse Practitioner in Buffalo, New York. Qualified in 2017, 9 years ago. Practices with Trinity Medical Wny PC, a 201-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

564 Niagara St Bldg 2
Buffalo, NY 14201-1108
Phone: (716) 882-0366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 341916 (NY)

Record details

NPI number1104349117
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESJanuary 18, 2024
Certification dateAugust 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Trinity Medical Wny Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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