Brandy L Doucet, LPN

Individual provider Active NPI Licensed Practical Nurse · Honeoye, NY

NPI 1194436162 · NPPES record last updated Dec 9, 2022

Key facts

NPI
1194436162
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
296989 (NY)
Practice address
8523 Main St
Honeoye, NY 14471-9637
Phone
(585) 642-0644
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
296989NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 296989 NY Yes

Addresses

Primary practice location

8523 Main St
Honeoye, NY 14471-9637

Mailing address

8523 Main St
Honeoye, NY 14471-9637
Phone (585) 642-0644

Other identifiers

IdentifierTypeStateIssuer
296989OtherNYLPN

Other providers in Honeoye, NY

All providers in Honeoye, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.