National Provider Identifier
Trudy Johnette Mack, LPN
Trudy Johnette Mack, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 286-0097.
Profile Overview
- NPI
- 1003061839
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 20, 2008
- Last Updated
- November 20, 2008
Practice Location
- 165 N. Water Street
- Apt. 205
- Rochester, NY 14604
Phone: (585) 286-0097
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1003061839
- Entity Type
- Individual
- Last Name
- Mack
- First Name
- Trudy
- Middle Name
- Johnette
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 165 N. Water Street
- Mailing Address Line 2
- Apt. 205
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14604
- Mailing Country
- US
- Mailing Phone
- (585) 286-0097
- Practice Street Address
- 165 N. Water Street
- Practice Address Line 2
- Apt. 205
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14604
- Practice Country
- US
- Practice Phone
- (585) 286-0097
- Enumeration Date
- November 20, 2008
- Last Updated
- November 20, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)