Healthcare Provider Details

I. General information

NPI: 1366891970
Provider Name (Legal Business Name): KAREN HELEN PILKINGTON CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2016
Last Update Date: 06/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 HARLEM RD SUITE 302
AMHERST NY
14226-2500
US

IV. Provider business mailing address

2180 DOMINION RD PO BOX 794
RIDGEWAY ONTARIO
L0S1N0
CA

V. Phone/Fax

Practice location:
  • Phone: 716-838-1333
  • Fax: 716-835-5595
Mailing address:
  • Phone: 905-894-8552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number1386484
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number1386484
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License Number1386484
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number1386484
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: