Individual
CATHLEEN NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11854 WISCOY RD, PORTAGEVILLE, NY 14536-9613
(716) 440-9859
Mailing address
11854 WISCOY RD, PORTAGEVILLE, NY 14536-9613
(716) 440-9859
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
243026-1
NY
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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