National Provider Identifier

Cyan Tynette Powell

Cyan Tynette Powell is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 565-2430.

NPI 1104521046Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1104521046
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 31, 2023
Last Updated
March 31, 2023

Practice Location

  • 15 St. Clair Street
  • Rochester, NY 14611

Phone: (585) 565-2430

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1104521046
Entity Type
Individual
Last Name
Powell
First Name
Cyan
Middle Name
Tynette
Mailing Street Address
15 St. Clair Street
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611
Mailing Country
US
Mailing Phone
(585) 565-2430
Practice Street Address
15 St. Clair Street
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611
Practice Country
US
Practice Phone
(585) 565-2430
Enumeration Date
March 31, 2023
Last Updated
March 31, 2023
Sex
Female
Sole Proprietor
No
Certification Date
March 31, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)