Crystal Nichole Davern, LPN

NPI #1083116719 in Depew, New York

Provider Information

NPI Number
1083116719
Entity Type
Individual
Name
Crystal Nichole Davern, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Mar 8, 2018
Last Updated
Mar 8, 2018

Practice Location

Address
8 DEEPWOOD CT
City
Depew
ZIP Code
14043-4244
Phone
(716) 715-7004

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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