National Provider Identifier

Nikita L Beresford, LPN

Nikita L Beresford, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Le Roy, NY and a listed phone number of (585) 953-7169.

NPI 1700179611Le Roy, NYLicensed Practical Nurse

Profile Overview

NPI
1700179611
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 25, 2011
Last Updated
May 25, 2011

Practice Location

  • 2387 Leroy Caledonia RD # 3
  • Le Roy, NY 14482-9512

Phone: (585) 953-7169

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1700179611
Entity Type
Individual
Last Name
Beresford
First Name
Nikita
Middle Name
L
Credential
LPN
Mailing Street Address
2387 Leroy Caledonia RD # 3
Mailing City
Le Roy
Mailing State
NY
Mailing ZIP Code
14482-9512
Mailing Country
US
Mailing Phone
(585) 953-7169
Practice Street Address
2387 Leroy Caledonia RD # 3
Practice City
Le Roy
Practice State
NY
Practice ZIP Code
14482-9512
Practice Country
US
Practice Phone
(585) 953-7169
Enumeration Date
May 25, 2011
Last Updated
May 25, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)