Provider Demographics
NPI:1427227412
Name:BREED, EILEEN BARBARA (RN)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:BARBARA
Last Name:BREED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:EILEEN
Other - Middle Name:BARBARA
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7992 DEVAUL RD
Mailing Address - Street 2:
Mailing Address - City:KIRKVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13082-9462
Mailing Address - Country:US
Mailing Address - Phone:315-687-3155
Mailing Address - Fax:
Practice Address - Street 1:7992 DEVAUL RD
Practice Address - Street 2:
Practice Address - City:KIRKVILLE
Practice Address - State:NY
Practice Address - Zip Code:13082-9462
Practice Address - Country:US
Practice Address - Phone:315-687-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2080171163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse