National Provider Identifier

Marie Elaina Bennett, HOME CARE AGENCY

Marie Elaina Bennett, HOME CARE AGENCY is listed in the NPPES registry with a primary specialty of Nurse's Aide in Lockport, NY and a listed phone number of (716) 523-1422.

NPI 1609561695Lockport, NYNurse's Aide

Profile Overview

NPI
1609561695
Provider Type
Individual
Primary Specialty
Nurse's Aide
Enumeration Date
April 06, 2023
Last Updated
April 06, 2023

Practice Location

  • 7410 Ellicott RD
  • Lockport, NY 14094-9487

Phone: (716) 523-1422

Specialties

  • Nurse's Aide (376K00000X)
Full Record
NPI
1609561695
Entity Type
Individual
Last Name
Bennett
First Name
Marie
Middle Name
Elaina
Credential
HOME CARE AGENCY
Mailing Street Address
7410 Ellicott RD
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-9487
Mailing Country
US
Mailing Phone
(716) 523-1422
Practice Street Address
7410 Ellicott RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-9487
Practice Country
US
Practice Phone
(716) 523-1422
Enumeration Date
April 06, 2023
Last Updated
April 06, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
April 06, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse's Aide (376K00000X)