National Provider Identifier
Donique Brent Robertsn, LPN
Donique Brent Robertsn, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 517-8112.
Profile Overview
- NPI
- 1629785605
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 31, 2022
- Last Updated
- October 31, 2022
Practice Location
- 263 Northland Ave
- Buffalo, NY 14208-1228
Phone: (716) 517-8112
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1629785605
- Entity Type
- Individual
- Last Name
- Robertsn
- First Name
- Donique
- Middle Name
- Brent
- Credential
- LPN
- Mailing Street Address
- 263 Northland Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14208-1228
- Mailing Country
- US
- Mailing Phone
- (716) 517-8112
- Practice Street Address
- 263 Northland Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14208-1228
- Practice Country
- US
- Practice Phone
- (716) 517-8112
- Enumeration Date
- October 31, 2022
- Last Updated
- October 31, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 31, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)