National Provider Identifier
Adeia Chanta Holcomb, LPN
Adeia Chanta Holcomb, 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) 881-2800.
Profile Overview
- NPI
- 1295417244
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 01, 2023
- Last Updated
- August 01, 2023
Practice Location
- 500 Seneca St Ste 610
- Buffalo, NY 14204-1963
Phone: (716) 881-2800
Mailing Address
- 452 Oliver St Apt 1
- North Tonawanda, NY 14120-6961
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1295417244
- Entity Type
- Individual
- Last Name
- Holcomb
- First Name
- Adeia
- Middle Name
- Chanta
- Credential
- LPN
- Mailing Street Address
- 452 Oliver St Apt 1
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-6961
- Mailing Country
- US
- Mailing Phone
- (716) 553-6429
- Practice Street Address
- 500 Seneca St Ste 610
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14204-1963
- Practice Country
- US
- Practice Phone
- (716) 881-2800
- Enumeration Date
- August 01, 2023
- Last Updated
- August 01, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- August 01, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)