National Provider Identifier

Amanda C Connolly-Spoon, LPN

Amanda C Connolly-Spoon, 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) 993-0452.

NPI 1033538988Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1033538988
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 08, 2014
Last Updated
November 30, 2021

Practice Location

  • 139 Creighton Ln
  • Rochester, NY 14612-2236

Phone: (585) 993-0452

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1033538988
Entity Type
Individual
Last Name
Connolly-Spoon
First Name
Amanda
Middle Name
C
Credential
LPN
Mailing Street Address
139 Creighton Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-2236
Mailing Country
US
Mailing Phone
(585) 993-0452
Practice Street Address
139 Creighton Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-2236
Practice Country
US
Practice Phone
(585) 993-0452
Enumeration Date
April 08, 2014
Last Updated
November 30, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
November 30, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)