National Provider Identifier

Beaonca Burnell, LPN

Beaonca Burnell, 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) 468-3193.

NPI 1811704091Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1811704091
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 12, 2024
Last Updated
December 12, 2024

Practice Location

  • 299 Humboldt Pkwy
  • Buffalo, NY 14208-1044

Phone: (716) 468-3193

Specialties

  • Licensed Practical Nurse (164W00000X)
  • Long-Term Care Clinical Nurse Specialist (364SL0600X)
Full Record
NPI
1811704091
Entity Type
Individual
Last Name
Burnell
First Name
Beaonca
Credential
LPN
Mailing Street Address
299 Humboldt Pkwy
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14208-1044
Mailing Country
US
Mailing Phone
(716) 468-3193
Practice Street Address
299 Humboldt Pkwy
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14208-1044
Practice Country
US
Practice Phone
(716) 468-3193
Enumeration Date
December 12, 2024
Last Updated
December 12, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
December 12, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), Long-Term Care Clinical Nurse Specialist (364SL0600X)