Individual provider · Type 1 NPI

Paulette Rena Roque

Licensed Practical Nurse · Canastota, NY

NPI number 1750426508 Active

Practice location

113 Caroline St
Canastota, NY 13032-1204

Call (315) 875-5024 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X215367-1 (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 1750426508

Paulette Rena Roque's National Provider Identifier is 1750426508, issued on Feb 20, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canastota, NY. The record was last updated on Jul 8, 2007.