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Individual

BEAONCA BURNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
299 HUMBOLDT PKWY, BUFFALO, NY 14208-1044
(716) 468-3193
Mailing address
299 HUMBOLDT PKWY, BUFFALO, NY 14208-1044
(716) 468-3193

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
348992
NY
364SL0600X
Long-Term Care Clinical Nurse Specialist
348992
NY

Other

Enumeration date
12/12/2024
Last updated
12/12/2024
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