National Provider Identifier
Autumn Raschel Edson
Autumn Raschel Edson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Sinclairville, NY and a listed phone number of (716) 338-2413.
Profile Overview
- NPI
- 1376262618
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 22, 2022
- Last Updated
- August 22, 2022
Practice Location
- 21 East Ave
- Sinclairville, NY 14782-9722
Phone: (716) 338-2413
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1376262618
- Entity Type
- Individual
- Last Name
- Edson
- First Name
- Autumn
- Middle Name
- Raschel
- Mailing Street Address
- 21 East Ave
- Mailing City
- Sinclairville
- Mailing State
- NY
- Mailing ZIP Code
- 14782-9722
- Mailing Country
- US
- Mailing Phone
- (716) 338-2413
- Practice Street Address
- 21 East Ave
- Practice City
- Sinclairville
- Practice State
- NY
- Practice ZIP Code
- 14782-9722
- Practice Country
- US
- Practice Phone
- (716) 338-2413
- Enumeration Date
- August 22, 2022
- Last Updated
- August 22, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 22, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)