Provider Demographics
NPI:1639469091
Name:ALFORD, LOUISE M (RN)
Entity type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:M
Last Name:ALFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LOUISE
Other - Middle Name:M
Other - Last Name:ALFORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:7628 ROCKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:NY
Mailing Address - Zip Code:14519-9312
Mailing Address - Country:US
Mailing Address - Phone:585-474-2794
Mailing Address - Fax:
Practice Address - Street 1:7628 ROCKLEDGE DR
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:NY
Practice Address - Zip Code:14519-9312
Practice Address - Country:US
Practice Address - Phone:585-474-2794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY554122-1163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse