National Provider Identifier
Brandy Bergeron
Brandy Bergeron is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lockport, NY and a listed phone number of (716) 807-1917.
Profile Overview
- NPI
- 1972758720
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 20, 2008
- Last Updated
- November 20, 2008
Practice Location
- 29 Beattie Ave
- Lockport, NY 14094-5002
Phone: (716) 807-1917
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1972758720
- Entity Type
- Individual
- Last Name
- Bergeron
- First Name
- Brandy
- Mailing Street Address
- 29 Beattie Ave
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5002
- Mailing Country
- US
- Mailing Phone
- (716) 807-1917
- Practice Street Address
- 29 Beattie Ave
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5002
- Practice Country
- US
- Practice Phone
- (716) 807-1917
- Enumeration Date
- November 20, 2008
- Last Updated
- November 20, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)