Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reshawna Petty

Individual provider Licensed Practical Nurse · NPI 1972864130

Reshawna Petty is a Licensed Practical Nurse in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

15 Brunswick Blvd
Buffalo, NY 14208-1543
Phone: (716) 931-5868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 309539-1 (NY)

Record details

NPI number1972864130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 5, 2012
Mailing address15 Brunswick Blvd, Buffalo, NY 14208-1543

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