National Provider Identifier
Donnie R Waits, LPN, PDN, A.S.
Donnie R Waits, LPN, PDN, A.S. is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lockport, NY and a listed phone number of (585) 735-5202.
Profile Overview
- NPI
- 1134463805
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 20, 2012
- Last Updated
- December 22, 2016
Practice Location
- 269 Beattie Ave
- Apt 4
- Lockport, NY 14094-5646
Phone: (585) 735-5202
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1134463805
- Entity Type
- Individual
- Last Name
- Waits
- First Name
- Donnie
- Middle Name
- R
- Name Prefix
- Mr.
- Credential
- LPN, PDN, A.S.
- Mailing Street Address
- 269 Beattie Ave
- Mailing Address Line 2
- Apt 4
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5646
- Mailing Country
- US
- Mailing Phone
- (585) 735-5202
- Practice Street Address
- 269 Beattie Ave
- Practice Address Line 2
- Apt 4
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5646
- Practice Country
- US
- Practice Phone
- (585) 735-5202
- Enumeration Date
- November 20, 2012
- Last Updated
- December 22, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 03522227 (NY)