National Provider Identifier

Dianna Young, LPN

Dianna Young, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 875-2904.

NPI 1063721272Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1063721272
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 05, 2010
Last Updated
October 05, 2010

Practice Location

  • 155 Lawn Ave
  • Buffalo, NY 14207-1816

Phone: (716) 875-2904

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1063721272
Entity Type
Individual
Last Name
Young
First Name
Dianna
Credential
LPN
Provider Other Last Name
Costanza
Provider Other First Name
Dianna
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
155 Lawn Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1816
Mailing Country
US
Mailing Phone
(716) 875-2904
Practice Street Address
155 Lawn Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-1816
Practice Country
US
Practice Phone
(716) 875-2904
Enumeration Date
October 05, 2010
Last Updated
October 05, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)