National Provider Identifier

Russell Pelton

Russell Pelton is listed in the NPPES registry with a primary specialty of Registered Nurse in Cheektowaga, NY and a listed phone number of (716) 855-2273.

NPI 1295021046Cheektowaga, NYRegistered Nurse

Profile Overview

NPI
1295021046
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
June 21, 2011
Last Updated
June 21, 2011

Practice Location

  • 3409 Genesee St
  • Cheektowaga, NY 14225-5051

Phone: (716) 855-2273

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1295021046
Entity Type
Individual
Last Name
Pelton
First Name
Russell
Mailing Street Address
3409 Genesee St
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-5051
Mailing Country
US
Practice Street Address
3409 Genesee St
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-5051
Practice Country
US
Practice Phone
(716) 855-2273
Enumeration Date
June 21, 2011
Last Updated
June 21, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)