National Provider Identifier

Rozetta Johnson, LPN

Rozetta Johnson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Churchville, NY and a listed phone number of (585) 635-4023.

NPI 1134980634Churchville, NYLicensed Practical Nurse

Profile Overview

NPI
1134980634
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 22, 2024
Last Updated
January 22, 2024

Practice Location

  • 5414 Buffalo RD
  • Churchville, NY 14428-9708

Phone: (585) 635-4023

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1134980634
Entity Type
Individual
Last Name
Johnson
First Name
Rozetta
Credential
LPN
Mailing Street Address
5414 Buffalo RD
Mailing City
Churchville
Mailing State
NY
Mailing ZIP Code
14428-9708
Mailing Country
US
Mailing Phone
(585) 635-4023
Practice Street Address
5414 Buffalo RD
Practice City
Churchville
Practice State
NY
Practice ZIP Code
14428-9708
Practice Country
US
Practice Phone
(585) 635-4023
Enumeration Date
January 22, 2024
Last Updated
January 22, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
January 22, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)