National Provider Identifier

Myeesha Green, LPN

Myeesha Green, 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) 441-4837.

NPI 1013803519Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1013803519
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 13, 2025
Last Updated
June 13, 2025

Practice Location

  • 1605 Affinity Ln
  • Rochester, NY 14616-1719

Phone: (585) 441-4837

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1013803519
Entity Type
Individual
Last Name
Green
First Name
Myeesha
Credential
LPN
Mailing Street Address
1605 Affinity Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-1719
Mailing Country
US
Mailing Phone
(585) 441-4837
Practice Street Address
1605 Affinity Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-1719
Practice Country
US
Practice Phone
(585) 441-4837
Enumeration Date
June 13, 2025
Last Updated
June 13, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
June 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)