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Mr. Clifford Neil Nickerson III, LPN
Licensed Practical Nurse in Williamsville, New York
NPI 1396344438

Clifford Neil Nickerson III is a Licensed Practical Nurse based in Williamsville, NY. Clifford Neil Nickerson III practices in Williamsville, NY and has the professional credentials of LPN. The NPI Number for Clifford Neil Nickerson III is 1396344438 and holds a License No. 331437-1 (New York).

The current practice location address for Clifford Neil Nickerson III is 2250 Wehrle Dr, Williamsville, NY and can be reached out via phone at 716-276-2123.

Location: 2250 Wehrle Dr, Williamsville, NY, 14221-7034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396344438
Provider Name
Clifford Neil Nickerson III
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
2250 Wehrle Dr, Williamsville, NY, 14221-7034
Phone Number
716-276-2123
Fax Number
Provider Enumeration Date
10/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
331437-1 05 NY
institution
Provider Business Practice Location Address Details
Address
2250 Wehrle Dr
City
Williamsville
State
New York
Zip
14221-7034
Phone Number
716-276-2123
Fax Number
person
Provider Business Mailing Address Details
Address
2250 Wehrle Dr
City
Williamsville
State
New York
Zip
14221-7034
Phone Number
716-276-2123
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
331437-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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