Individual provider · Type 1 NPI

Diane O. Bullock, LPN

Licensed Practical Nurse · Rochester, NY

NPI number 1417286535 Active

Practice location

2660 Chili Ave, Bldg 28 Apt 14
Rochester, NY 14624-4101

Call (585) 490-3369 Map

Mailing address

PO Box 17523
Rochester, NY 14617-0523

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X210139-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1417286535

Diane O. Bullock, LPN's National Provider Identifier is 1417286535, issued on Dec 19, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Dec 19, 2009.