National Provider Identifier

Clarese Elasha Hargro

Clarese Elasha Hargro is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 715-6105.

NPI 1376895748Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1376895748
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 10, 2012
Last Updated
October 10, 2012

Practice Location

  • 23 Holland Pl
  • Buffalo, NY 14209-1933

Phone: (716) 715-6105

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1376895748
Entity Type
Individual
Last Name
Hargro
First Name
Clarese
Middle Name
Elasha
Name Prefix
MS.
Provider Other Last Name
Hargro
Provider Other First Name
Clarese
Provider Other Middle Name
Elasha
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
2
Mailing Street Address
23 Holland Pl
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-1933
Mailing Country
US
Mailing Phone
(716) 715-6105
Practice Street Address
23 Holland Pl
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1933
Practice Country
US
Practice Phone
(716) 715-6105
Enumeration Date
October 10, 2012
Last Updated
October 10, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)