Individual
IKEA DURRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA LPN
Contact information
Practice address
182 JOHNSON ST, BUFFALO, NY 14211-3118
(716) 578-3801
Mailing address
182 JOHNSON ST, BUFFALO, NY 14211-3118
(716) 578-3801
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
343782570216E
NY
374U00000X
Home Health Aide
343782570216E
NY
376K00000X
Nurse's Aide
Primary
343782570216E
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343782570216E
CNA
NY
Enumeration date
02/11/2022
Last updated
02/11/2022
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