National Provider Identifier

Latanya Denise Brown, LPN

Latanya Denise 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) 922-4000.

NPI 1194339085Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1194339085
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 08, 2020
Last Updated
September 08, 2020

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 922-4000

Mailing Address

  • PO Box 90493
  • Rochester, NY 14609-0493

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1194339085
Entity Type
Individual
Last Name
Brown
First Name
Latanya
Middle Name
Denise
Credential
LPN
Mailing Street Address
PO Box 90493
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-0493
Mailing Country
US
Mailing Phone
(404) 308-0036
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
September 08, 2020
Last Updated
September 08, 2020
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Multiple Single Specialty Group
Certification Date
August 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)