National Provider Identifier

Tiayana Small, LPN

Tiayana Small, 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) 532-3242.

NPI 1033921564Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1033921564
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 22, 2025
Last Updated
January 22, 2025

Practice Location

  • 150 State St
  • Rochester, NY 14614-1353

Phone: (585) 532-3242

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1033921564
Entity Type
Individual
Last Name
Small
First Name
Tiayana
Credential
LPN
Mailing Street Address
150 State St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14614-1353
Mailing Country
US
Practice Street Address
150 State St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14614-1353
Practice Country
US
Practice Phone
(585) 532-3242
Enumeration Date
January 22, 2025
Last Updated
January 22, 2025
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
January 22, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)