Provider Demographics
NPI:1174832182
Name:SPOFFORD, BARBARA KANAYA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:KANAYA
Last Name:SPOFFORD
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 1:6255 EDSON RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:NY
Mailing Address - Zip Code:14512-9430
Mailing Address - Country:US
Mailing Address - Phone:585-374-8006
Mailing Address - Fax:
Practice Address - Street 1:6255 EDSON RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:NY
Practice Address - Zip Code:14512-9430
Practice Address - Country:US
Practice Address - Phone:585-374-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-26
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279983164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse