Individual
LEAH NACOLE PENNARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
182 BRECKENRIDGE ST, BUFFALO, NY 14213-1562
(716) 881-6139
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 713-1449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
93116501
NY
163WC1500X
Community Health Registered Nurse
Primary
93116501
NY
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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