National Provider Identifier
Shaneka Irene Grady, L.P.N.
Shaneka Irene Grady, L.P.N. is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 285-0403.
Profile Overview
- NPI
- 1043583826
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 09, 2012
- Last Updated
- February 09, 2012
Practice Location
- 187 Desmond St
- Rochester, NY 14615-2921
Phone: (585) 285-0403
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1043583826
- Entity Type
- Individual
- Last Name
- Grady
- First Name
- Shaneka
- Middle Name
- Irene
- Credential
- L.P.N.
- Mailing Street Address
- 187 Desmond St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-2921
- Mailing Country
- US
- Mailing Phone
- (585) 285-0403
- Practice Street Address
- 187 Desmond St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-2921
- Practice Country
- US
- Practice Phone
- (585) 285-0403
- Enumeration Date
- February 09, 2012
- Last Updated
- February 09, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)