Provider Demographics
NPI:1083347215
Name:PERFITT, BRYNNE LEPHA (LPN)
Entity Type:Individual
Prefix:
First Name:BRYNNE
Middle Name:LEPHA
Last Name:PERFITT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BENNETT AVE
Mailing Address - Street 2:
Mailing Address - City:OAKFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14125-1101
Mailing Address - Country:US
Mailing Address - Phone:585-746-7709
Mailing Address - Fax:
Practice Address - Street 1:74 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ELBA
Practice Address - State:NY
Practice Address - Zip Code:14058-9518
Practice Address - Country:US
Practice Address - Phone:585-356-4255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322096164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse