National Provider Identifier

Leah Nacole Pennario, REGISTERED NURSE

Leah Nacole Pennario, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Community Health Registered Nurse in Buffalo, NY and a listed phone number of (716) 881-6139.

NPI 1235988775Buffalo, NYCommunity Health Registered Nurse

Profile Overview

NPI
1235988775
Provider Type
Individual
Primary Specialty
Community Health Registered Nurse
Enumeration Date
May 16, 2024
Last Updated
May 16, 2024

Practice Location

  • 182 Breckenridge St
  • Buffalo, NY 14213-1562

Phone: (716) 881-6139

Mailing Address

  • 184 Barton St
  • Buffalo, NY 14213-1573

Specialties

  • Community Health Registered Nurse (163WC1500X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1235988775
Entity Type
Individual
Last Name
Pennario
First Name
Leah
Middle Name
Nacole
Credential
REGISTERED NURSE
Provider Other Last Name
Brown
Provider Other First Name
Leah
Provider Other Middle Name
Nacole
Provider Other Last Name Type Code
1
Mailing Street Address
184 Barton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-1573
Mailing Country
US
Mailing Phone
(716) 713-1449
Practice Street Address
182 Breckenridge St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1562
Practice Country
US
Practice Phone
(716) 881-6139
Enumeration Date
May 16, 2024
Last Updated
May 16, 2024
Sex
Female
Sole Proprietor
No
Certification Date
May 16, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Registered Nurse (163WC1500X), Registered Nurse (163W00000X)