Provider Demographics
NPI:1972800431
Name:PLOUFFE, GIOVANNA (NP)
Entity type:Individual
Prefix:MRS
First Name:GIOVANNA
Middle Name:
Last Name:PLOUFFE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7480 CARL RD.
Mailing Address - Street 2:
Mailing Address - City:PORT ROBINSON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L0S 1K0
Mailing Address - Country:CA
Mailing Address - Phone:716-564-7010
Mailing Address - Fax:
Practice Address - Street 1:5320 MILITARY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:LEWISTON
Practice Address - State:NY
Practice Address - Zip Code:14092-2149
Practice Address - Country:US
Practice Address - Phone:716-297-0001
Practice Address - Fax:716-297-3213
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30305623363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health