National Provider Identifier

Dominique Sade Brown, LPN

Dominique Sade Brown, 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) 439-9273.

NPI 1053933218Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1053933218
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 11, 2020
Last Updated
May 11, 2020

Practice Location

  • 22 Avis St
  • Rochester, NY 14615-3408

Phone: (585) 439-9273

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1053933218
Entity Type
Individual
Last Name
Brown
First Name
Dominique
Middle Name
Sade
Name Prefix
Miss
Credential
LPN
Mailing Street Address
22 Avis St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-3408
Mailing Country
US
Mailing Phone
(585) 439-9273
Practice Street Address
22 Avis St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-3408
Practice Country
US
Practice Phone
(585) 439-9273
Enumeration Date
May 11, 2020
Last Updated
May 11, 2020
Sex
Female
Sole Proprietor
No
Certification Date
May 11, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)