National Provider Identifier
Betty Wheeler Dejaiffe, LPN
Betty Wheeler Dejaiffe, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Addison, NY and a listed phone number of (607) 590-8936.
Profile Overview
- NPI
- 1053185033
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 10, 2023
- Last Updated
- November 10, 2023
Practice Location
- 5 Nichols RD Unit 300
- Addison, NY 14801-1037
Phone: (607) 590-8936
Mailing Address
- 5 Nichols RD
- Addison, NY 14801-1037
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1053185033
- Entity Type
- Individual
- Last Name
- Dejaiffe
- First Name
- Betty
- Middle Name
- Wheeler
- Credential
- LPN
- Mailing Street Address
- 5 Nichols RD
- Mailing City
- Addison
- Mailing State
- NY
- Mailing ZIP Code
- 14801-1037
- Mailing Country
- US
- Mailing Phone
- (607) 590-8936
- Practice Street Address
- 5 Nichols RD Unit 300
- Practice City
- Addison
- Practice State
- NY
- Practice ZIP Code
- 14801-1037
- Practice Country
- US
- Practice Phone
- (607) 590-8936
- Enumeration Date
- November 10, 2023
- Last Updated
- November 10, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- November 10, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)