National Provider Identifier
Marquita Cassandra Coleman, LPN
Marquita Cassandra Coleman, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Gates, NY and a listed phone number of (585) 557-4637.
Profile Overview
- NPI
- 1194422915
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 13, 2023
- Last Updated
- February 13, 2023
Practice Location
- 58 Nisa Ln
- Gates, NY 14606-4051
Phone: (585) 557-4637
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1194422915
- Entity Type
- Individual
- Last Name
- Coleman
- First Name
- Marquita
- Middle Name
- Cassandra
- Credential
- LPN
- Mailing Street Address
- 58 Nisa Ln
- Mailing City
- Gates
- Mailing State
- NY
- Mailing ZIP Code
- 14606-4051
- Mailing Country
- US
- Practice Street Address
- 58 Nisa Ln
- Practice City
- Gates
- Practice State
- NY
- Practice ZIP Code
- 14606-4051
- Practice Country
- US
- Practice Phone
- (585) 557-4637
- Enumeration Date
- February 13, 2023
- Last Updated
- February 13, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 12, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)