Provider Demographics
NPI:1992556971
Name:MILLENDER, ASHLEY SADEH
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SADEH
Last Name:MILLENDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 SATTLER AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14211-2133
Mailing Address - Country:US
Mailing Address - Phone:716-247-3564
Mailing Address - Fax:
Practice Address - Street 1:63 SATTLER AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14211-2133
Practice Address - Country:US
Practice Address - Phone:716-247-3564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY34379301164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse