National Provider Identifier

Moselle Whitehead, LPN

Moselle Whitehead, 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) 831-7877.

NPI 1710131172Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1710131172
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 12, 2008
Last Updated
September 27, 2021

Practice Location

  • 244 Hempstead Ave
  • Buffalo, NY 14215-3404

Phone: (716) 831-7877

Specialties

  • Licensed Practical Nurse (164W00000X)
  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1710131172
Entity Type
Individual
Last Name
Whitehead
First Name
Moselle
Credential
LPN
Mailing Street Address
244 Hempstead Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3404
Mailing Country
US
Mailing Phone
(716) 831-7877
Mailing Fax
(716) 831-8666
Practice Street Address
244 Hempstead Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3404
Practice Country
US
Practice Phone
(716) 831-7877
Practice Fax
(716) 831-8666
Enumeration Date
November 12, 2008
Last Updated
September 27, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
September 27, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), Licensed Practical Nurse (164W00000X)