National Provider Identifier

Tyesha Carr

Tyesha Carr is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.

NPI 1700270055Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1700270055
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 25, 2015
Last Updated
March 25, 2015

Practice Location

  • 1680 Walden Ave
  • Cheektowaga, NY 14225-4914

Phone: (716) 894-7777

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1700270055
Entity Type
Individual
Last Name
Carr
First Name
Tyesha
Name Prefix
MS.
Mailing Street Address
1680 Walden Ave
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4914
Mailing Country
US
Mailing Phone
(716) 894-7777
Practice Street Address
1680 Walden Ave
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4914
Practice Country
US
Practice Phone
(716) 894-7777
Enumeration Date
March 25, 2015
Last Updated
March 25, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)