National Provider Identifier
Desiree Dixon
Desiree Dixon is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Macedon, NY and a listed phone number of (585) 905-9462.
Profile Overview
- NPI
- 1922355908
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 09, 2012
- Last Updated
- August 09, 2012
Practice Location
- 3259 Evergreen Hills Dr Apt 8
- Macedon, NY 14502-8852
Phone: (585) 905-9462
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1922355908
- Entity Type
- Individual
- Last Name
- Dixon
- First Name
- Desiree
- Name Prefix
- Miss
- Mailing Street Address
- 3259 Evergreen Hills Dr Apt 8
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502-8852
- Mailing Country
- US
- Mailing Phone
- (585) 905-9462
- Practice Street Address
- 3259 Evergreen Hills Dr Apt 8
- Practice City
- Macedon
- Practice State
- NY
- Practice ZIP Code
- 14502-8852
- Practice Country
- US
- Practice Phone
- (585) 905-9462
- Enumeration Date
- August 09, 2012
- Last Updated
- August 09, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)