National Provider Identifier
Reshawna Petty
Reshawna Petty is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 931-5868.
Profile Overview
- NPI
- 1972864130
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 05, 2012
- Last Updated
- June 05, 2012
Practice Location
- 15 Brunswick Blvd
- Buffalo, NY 14208-1543
Phone: (716) 931-5868
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1972864130
- Entity Type
- Individual
- Last Name
- Petty
- First Name
- Reshawna
- Mailing Street Address
- 15 Brunswick Blvd
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14208-1543
- Mailing Country
- US
- Mailing Phone
- (716) 931-5868
- Practice Street Address
- 15 Brunswick Blvd
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14208-1543
- Practice Country
- US
- Practice Phone
- (716) 931-5868
- Enumeration Date
- June 05, 2012
- Last Updated
- June 05, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)