National Provider Identifier

Michelle Marie Matyjczuk, LPN

Michelle Marie Matyjczuk, 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) 489-5145.

NPI 1033544887Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1033544887
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 12, 2013
Last Updated
September 12, 2013

Practice Location

  • 61C Northgate Mnr
  • Rochester, NY 14616-2609

Phone: (585) 489-5145

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1033544887
Entity Type
Individual
Last Name
Matyjczuk
First Name
Michelle
Middle Name
Marie
Name Prefix
Miss
Credential
LPN
Mailing Street Address
61C Northgate Mnr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-2609
Mailing Country
US
Mailing Phone
(585) 489-5145
Practice Street Address
61C Northgate Mnr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-2609
Practice Country
US
Practice Phone
(585) 489-5145
Enumeration Date
September 12, 2013
Last Updated
September 12, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)