National Provider Identifier
Juanita L Burgess
Juanita L Burgess is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 469-0194.
Profile Overview
- NPI
- 1144780180
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 25, 2019
- Last Updated
- March 25, 2019
Practice Location
- 455 Titus Ave Apt 102
- Rochester, NY 14617-3546
Phone: (585) 469-0194
Mailing Address
- 103 Pullman Ave
- Rochester, NY 14615-3507
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1144780180
- Entity Type
- Individual
- Last Name
- Burgess
- First Name
- Juanita
- Middle Name
- L
- Mailing Street Address
- 103 Pullman Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-3507
- Mailing Country
- US
- Mailing Phone
- (585) 747-8149
- Practice Street Address
- 455 Titus Ave Apt 102
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-3546
- Practice Country
- US
- Practice Phone
- (585) 469-0194
- Enumeration Date
- March 25, 2019
- Last Updated
- March 25, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)