Organization · Type 2 NPI

Self

Licensed Practical Nurse · Rochester, NY

NPI number 1861781759 Active

Practice location

29 Heberton Rd
Rochester, NY 14622-2405

Call (585) 734-2650 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27300 (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 1861781759

Self's National Provider Identifier is 1861781759, issued on Mar 31, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Mar 31, 2011.