National Provider Identifier

Destiney Marie Ross, LPN

Destiney Marie Ross, 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) 517-5567.

NPI 1093307340Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1093307340
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 08, 2021
Last Updated
February 08, 2021

Practice Location

  • 73 Seminole Pkwy Lowr
  • Buffalo, NY 14210-1812

Phone: (716) 517-5567

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1093307340
Entity Type
Individual
Last Name
Ross
First Name
Destiney
Middle Name
Marie
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
73 Seminole Pkwy Lowr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14210-1812
Mailing Country
US
Mailing Phone
(716) 517-5567
Practice Street Address
73 Seminole Pkwy Lowr
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14210-1812
Practice Country
US
Practice Phone
(716) 517-5567
Enumeration Date
February 08, 2021
Last Updated
February 08, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
February 08, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)