Individual
MS. BRENDA CARYLE SPENCER-NDIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
85 LINHOME DR, WEST HENRIETTA, NY 14586-9962
(585) 273-0435
Mailing address
350 MAGEE AVE, ROCHESTER, NY 14613-1010
(585) 527-0132
(585) 527-0132
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
139397-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02369804
—
NY
Enumeration date
06/19/2008
Last updated
06/19/2008
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