National Provider Identifier

Autumn Smith

Autumn Smith is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Batavia, NY and a listed phone number of (585) 813-6697.

NPI 1164960118Batavia, NYLicensed Practical Nurse

Profile Overview

NPI
1164960118
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 09, 2017
Last Updated
February 09, 2017

Practice Location

  • 3727 W Main Street RD
  • Apt A6
  • Batavia, NY 14020-9408

Phone: (585) 813-6697

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1164960118
Entity Type
Individual
Last Name
Smith
First Name
Autumn
Mailing Street Address
3727 W Main Street RD
Mailing Address Line 2
Apt A6
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020-9408
Mailing Country
US
Mailing Phone
(585) 813-6697
Practice Street Address
3727 W Main Street RD
Practice Address Line 2
Apt A6
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020-9408
Practice Country
US
Practice Phone
(585) 813-6697
Enumeration Date
February 09, 2017
Last Updated
February 09, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)