National Provider Identifier
Diana Wittrock
Diana Wittrock is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in East Aurora, NY and a listed phone number of (716) 572-5611.
Profile Overview
- NPI
- 1265785240
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 16, 2012
- Last Updated
- October 16, 2012
Practice Location
- 1080 N Davis RD
- East Aurora, NY 14052
Phone: (716) 572-5611
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1265785240
- Entity Type
- Individual
- Last Name
- Wittrock
- First Name
- Diana
- Name Prefix
- Mrs.
- Mailing Street Address
- 1080 N Davis RD
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052
- Mailing Country
- US
- Practice Street Address
- 1080 N Davis RD
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052
- Practice Country
- US
- Practice Phone
- (716) 572-5611
- Enumeration Date
- October 16, 2012
- Last Updated
- October 16, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)