National Provider Identifier

Dedra Robinson

Dedra Robinson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Amherst, NY and a listed phone number of (716) 563-9640.

NPI 1912515578Amherst, NYLicensed Practical Nurse

Profile Overview

NPI
1912515578
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 20, 2020
Last Updated
July 20, 2020

Practice Location

  • 254 Travers Cir
  • Amherst, NY 14228-1733

Phone: (716) 563-9640

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1912515578
Entity Type
Individual
Last Name
Robinson
First Name
Dedra
Mailing Street Address
254 Travers Cir
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-1733
Mailing Country
US
Mailing Phone
(716) 563-9640
Practice Street Address
254 Travers Cir
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14228-1733
Practice Country
US
Practice Phone
(716) 563-9640
Enumeration Date
July 20, 2020
Last Updated
July 20, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
July 20, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)