Provider Demographics
NPI:1073069621
Name:LAFLEUR, SANDY (RN,BSN)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:
Last Name:LAFLEUR
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HEBRON AVE
Mailing Address - Street 2:
Mailing Address - City:SHORTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14548
Mailing Address - Country:US
Mailing Address - Phone:585-520-2021
Mailing Address - Fax:
Practice Address - Street 1:5 HEBRON AVE
Practice Address - Street 2:
Practice Address - City:SHORTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14548
Practice Address - Country:US
Practice Address - Phone:585-520-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY487366163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse