National Provider Identifier
Tavia Shalese Brooks-Vines, LPN
Tavia Shalese Brooks-Vines, 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) 480-2751.
Profile Overview
- NPI
- 1245540343
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 07, 2010
- Last Updated
- October 07, 2010
Practice Location
- 220 Hutchinson Ave
- Buffalo, NY 14215-2241
Phone: (716) 480-2751
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1245540343
- Entity Type
- Individual
- Last Name
- Brooks-Vines
- First Name
- Tavia
- Middle Name
- Shalese
- Credential
- LPN
- Mailing Street Address
- 220 Hutchinson Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2241
- Mailing Country
- US
- Mailing Phone
- (716) 480-2751
- Practice Street Address
- 220 Hutchinson Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2241
- Practice Country
- US
- Practice Phone
- (716) 480-2751
- Enumeration Date
- October 07, 2010
- Last Updated
- October 07, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)