National Provider Identifier

Kita Nettles

Kita Nettles is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 715-8505.

NPI 1891009114Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1891009114
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 28, 2010
Last Updated
July 28, 2010

Practice Location

  • 10 Devon Grn
  • Buffalo, NY 14204-1753

Phone: (716) 715-8505

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1891009114
Entity Type
Individual
Last Name
Nettles
First Name
Kita
Mailing Street Address
10 Devon Grn
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14204-1753
Mailing Country
US
Mailing Phone
(716) 715-8505
Mailing Fax
(716) 884-1827
Practice Street Address
10 Devon Grn
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14204-1753
Practice Country
US
Practice Phone
(716) 715-8505
Practice Fax
(716) 884-1827
Enumeration Date
July 28, 2010
Last Updated
July 28, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)