Provider Demographics
NPI:1811789712
Name:HORTON BRINKLEY, KAMBRIA SHAIREASE (LPN)
Entity type:Individual
Prefix:
First Name:KAMBRIA
Middle Name:SHAIREASE
Last Name:HORTON BRINKLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 ROBERT QUIGLEY DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14546-1020
Mailing Address - Country:US
Mailing Address - Phone:585-552-1102
Mailing Address - Fax:
Practice Address - Street 1:79 ROBERT QUIGLEY DR
Practice Address - Street 2:
Practice Address - City:SCOTTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14546-1020
Practice Address - Country:US
Practice Address - Phone:585-552-1102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343458164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse