National Provider Identifier
Mildred Iyasere
Mildred Iyasere is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse in Buffalo, NY and a listed phone number of (716) 852-5900.
Profile Overview
- NPI
- 1497138119
- Provider Type
- Individual
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- June 30, 2015
- Last Updated
- June 30, 2015
Practice Location
- 69 Delaware Ave
- 1200
- Buffalo, NY 14202-3812
Phone: (716) 852-5900
Mailing Address
- 1015 Delaware Ave
- 404
- Buffalo, NY 14209-1651
Specialties
- Licensed Vocational Nurse (164X00000X)
Full Record
- NPI
- 1497138119
- Entity Type
- Individual
- Last Name
- Iyasere
- First Name
- Mildred
- Provider Other Last Name
- Esene
- Provider Other First Name
- Mildred
- Provider Other Credential Text
- MAIDEN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1015 Delaware Ave
- Mailing Address Line 2
- 404
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-1651
- Mailing Country
- US
- Mailing Phone
- (716) 361-3095
- Practice Street Address
- 69 Delaware Ave
- Practice Address Line 2
- 1200
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-3812
- Practice Country
- US
- Practice Phone
- (716) 852-5900
- Enumeration Date
- June 30, 2015
- Last Updated
- June 30, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Vocational Nurse (164X00000X)