National Provider Identifier

Diamond Bostick, LPN

Diamond Bostick, 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) 957-6896.

NPI 1013505403Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1013505403
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 02, 2021
Last Updated
January 02, 2021

Practice Location

  • 664 Grand Ave
  • Rochester, NY 14609-6537

Phone: (585) 957-6896

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1013505403
Entity Type
Individual
Last Name
Bostick
First Name
Diamond
Credential
LPN
Mailing Street Address
664 Grand Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-6537
Mailing Country
US
Practice Street Address
664 Grand Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-6537
Practice Country
US
Practice Phone
(585) 957-6896
Enumeration Date
January 02, 2021
Last Updated
January 02, 2021
Sex
Female
Sole Proprietor
No
Certification Date
January 02, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)