National Provider Identifier

Elsa Yemane Menguistab

Elsa Yemane Menguistab is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 309-2490.

NPI 1063718617Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1063718617
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 30, 2011
Last Updated
January 30, 2011

Practice Location

  • 111 Rexford St
  • Rochester, NY 14621-2605

Phone: (585) 309-2490

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1063718617
Entity Type
Individual
Last Name
Menguistab
First Name
Elsa
Middle Name
Yemane
Mailing Street Address
111 Rexford St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2605
Mailing Country
US
Mailing Phone
(585) 309-2490
Practice Street Address
111 Rexford St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2605
Practice Country
US
Practice Phone
(585) 309-2490
Enumeration Date
January 30, 2011
Last Updated
January 30, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)