National Provider Identifier

Sonya Antoinette Brackett, R.N.

Sonya Antoinette Brackett, R.N. is listed in the NPPES registry with a primary specialty of Registered Nurse in Derby, NY and a listed phone number of (716) 562-7012.

NPI 1104125905Derby, NYRegistered Nurse

Profile Overview

NPI
1104125905
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
March 18, 2011
Last Updated
March 18, 2011

Practice Location

  • 6818 Erie RD
  • Derby, NY 14047-9783

Phone: (716) 562-7012

Mailing Address

  • PO Box 296
  • Derby, NY 14047-0296

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1104125905
Entity Type
Individual
Last Name
Brackett
First Name
Sonya
Middle Name
Antoinette
Name Prefix
Mrs.
Credential
R.N.
Mailing Street Address
PO Box 296
Mailing City
Derby
Mailing State
NY
Mailing ZIP Code
14047-0296
Mailing Country
US
Mailing Phone
(716) 562-7012
Mailing Fax
(716) 562-7109
Practice Street Address
6818 Erie RD
Practice City
Derby
Practice State
NY
Practice ZIP Code
14047-9783
Practice Country
US
Practice Phone
(716) 562-7012
Practice Fax
(716) 562-7109
Enumeration Date
March 18, 2011
Last Updated
March 18, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)