National Provider Identifier

Judy Histed

Judy Histed is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Friendship, NY and a listed phone number of (585) 610-2505.

NPI 1578933362Friendship, NYLicensed Practical Nurse

Profile Overview

NPI
1578933362
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 06, 2015
Last Updated
October 06, 2015

Practice Location

  • 50 E Main St
  • Friendship, NY 14739-8654

Phone: (585) 610-2505

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1578933362
Entity Type
Individual
Last Name
Histed
First Name
Judy
Mailing Street Address
50 E Main St
Mailing City
Friendship
Mailing State
NY
Mailing ZIP Code
14739-8654
Mailing Country
US
Mailing Phone
(585) 610-2505
Practice Street Address
50 E Main St
Practice City
Friendship
Practice State
NY
Practice ZIP Code
14739-8654
Practice Country
US
Practice Phone
(585) 610-2505
Enumeration Date
October 06, 2015
Last Updated
October 06, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)