Provider Demographics
NPI:1972167021
Name:EARLEY, SIDNEY ELIZABETH (RN)
Entity type:Individual
Prefix:MRS
First Name:SIDNEY
Middle Name:ELIZABETH
Last Name:EARLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:SIDNEY
Other - Middle Name:ELIZABETH
Other - Last Name:LINDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:MACHIAS
Mailing Address - State:NY
Mailing Address - Zip Code:14101-0188
Mailing Address - Country:US
Mailing Address - Phone:716-353-8525
Mailing Address - Fax:716-353-8272
Practice Address - Street 1:9824 ROUTE 16
Practice Address - Street 2:
Practice Address - City:MACHIAS
Practice Address - State:NY
Practice Address - Zip Code:14101-9771
Practice Address - Country:US
Practice Address - Phone:716-353-8525
Practice Address - Fax:716-353-8272
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY647055163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health