Delaini Brouty
Licensed Practical Nurse in Lyons Falls, NY. Individual provider (NPI-1).
NPI number1629623947
StatusActive
Last updated in NPPESAug 4, 2019
Details
- NPI
- 1629623947
- Entity type
- Individual (NPI-1)
- Name
- Delaini Brouty
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2019
- Last updated
- Aug 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 333739 | NY | Yes |
Practice location
7239 Fish Creek RdLyons Falls, NY 13368-2212
Phone 315-586-2239
Mailing address
7239 Fish Creek RdLyons Falls, NY 13368-2212
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