National Provider Identifier
Syreeta Deveana Smith, LPN
Syreeta Deveana Smith, 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) 242-4853.
Profile Overview
- NPI
- 1013296474
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 16, 2011
- Last Updated
- August 26, 2022
Practice Location
- 19 Riverside St
- Rochester, NY 14613-1235
Phone: (585) 242-4853
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1013296474
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Syreeta
- Middle Name
- Deveana
- Credential
- LPN
- Mailing Street Address
- 19 Riverside St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14613-1235
- Mailing Country
- US
- Mailing Phone
- (585) 242-4853
- Practice Street Address
- 19 Riverside St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14613-1235
- Practice Country
- US
- Practice Phone
- (585) 242-4853
- Enumeration Date
- August 16, 2011
- Last Updated
- August 26, 2022
- Deactivation Date
- April 02, 2020
- Reactivation Date
- August 26, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)