Tacca, Beth L

Tacca, Beth L is an sole proprietor health care provider with primary practice located at 760 Millersport Hwy , Amherst NY 14226-2410. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Tacca, Beth L can be contacted via phone (716) 446-1435.

Contact Information

Primary practice address
760 Millersport Hwy Amherst NY 14226-2410
Phone: (716) 446-1435
Fax: (716) 446-1569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 543658-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 304642 New York

Profile Details

NPI number 1962603316
LBN Legal business name Tacca, Beth L
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Mar 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962603316 NPPES
New York Other 00028045601 UNIVERA
New York Other 9514256 UNIVERA
New York Other 000529289001 UNIVERA
New York MEDICAID 02892822 UNIVERA

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