National Provider Identifier

Pertrina Cassandra Fruster, LPN

Pertrina Cassandra Fruster, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (917) 982-0399.

NPI 1003398124Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1003398124
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 05, 2018
Last Updated
September 05, 2018

Practice Location

  • 24 Hill Ct Apt E
  • Rochester, NY 14621-1181

Phone: (917) 982-0399

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1003398124
Entity Type
Individual
Last Name
Fruster
First Name
Pertrina
Middle Name
Cassandra
Credential
LPN
Mailing Street Address
24 Hill Ct Apt E
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-1181
Mailing Country
US
Mailing Phone
(917) 982-0399
Practice Street Address
24 Hill Ct Apt E
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-1181
Practice Country
US
Practice Phone
(917) 982-0399
Enumeration Date
September 05, 2018
Last Updated
September 05, 2018
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
232290 (NY, LPN License)