National Provider Identifier

Sarah Boonstra, LPN

Sarah Boonstra, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Bloomfield, NY and a listed phone number of (585) 755-2693.

NPI 1679189690Bloomfield, NYLicensed Practical Nurse

Profile Overview

NPI
1679189690
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 16, 2020
Last Updated
September 16, 2020

Practice Location

  • 9277 Dugway RD
  • Bloomfield, NY 14469-9543

Phone: (585) 755-2693

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1679189690
Entity Type
Individual
Last Name
Boonstra
First Name
Sarah
Credential
LPN
Mailing Street Address
9277 Dugway RD
Mailing City
Bloomfield
Mailing State
NY
Mailing ZIP Code
14469-9543
Mailing Country
US
Mailing Phone
(585) 755-2693
Practice Street Address
9277 Dugway RD
Practice City
Bloomfield
Practice State
NY
Practice ZIP Code
14469-9543
Practice Country
US
Practice Phone
(585) 755-2693
Enumeration Date
September 16, 2020
Last Updated
September 16, 2020
Sex
Female
Sole Proprietor
No
Certification Date
September 16, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)