National Provider Identifier

Glenda N/A Phillips-Hickman, LPN

Glenda N/A Phillips-Hickman, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Spencer, NY and a listed phone number of (607) 607-5897.

NPI 1548532393Spencer, NYLicensed Practical Nurse

Profile Overview

NPI
1548532393
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 08, 2012
Last Updated
February 08, 2012

Practice Location

  • 700 Washburn RD
  • Spencer, NY 14883-9409

Phone: (607) 607-5897

Mailing Address

  • 244 Slate RD
  • Candor, NY 13743-1718

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1548532393
Entity Type
Individual
Last Name
Phillips-Hickman
First Name
Glenda
Middle Name
N/A
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
244 Slate RD
Mailing City
Candor
Mailing State
NY
Mailing ZIP Code
13743-1718
Mailing Country
US
Mailing Phone
(607) 659-3839
Practice Street Address
700 Washburn RD
Practice City
Spencer
Practice State
NY
Practice ZIP Code
14883-9409
Practice Country
US
Practice Phone
(607) 607-5897
Enumeration Date
February 08, 2012
Last Updated
February 08, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)