Tanya Sue Bakowski, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Warsaw, NY

NPI

1174090682

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

297122 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2018-11-01

Last updated

2018-11-01