National Provider Identifier

Diane J Bigelow, LPN

Diane J Bigelow, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 637-7647.

NPI 1629417548Brockport, NYLicensed Practical Nurse

Profile Overview

NPI
1629417548
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 25, 2013
Last Updated
June 25, 2013

Practice Location

  • 69 Spring St
  • Brockport, NY 14420-2045

Phone: (585) 637-7647

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1629417548
Entity Type
Individual
Last Name
Bigelow
First Name
Diane
Middle Name
J
Credential
LPN
Mailing Street Address
69 Spring St
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-2045
Mailing Country
US
Mailing Phone
(585) 637-7647
Practice Street Address
69 Spring St
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2045
Practice Country
US
Practice Phone
(585) 637-7647
Enumeration Date
June 25, 2013
Last Updated
June 25, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)